JEANCLAUDE JEANLYS

ORANGE, NJ
NPI1740528348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  310163)
Enumeration Date2013-01-17
Last Update Date2013-01-17
Business Address
-- JEANCLAUDE JEANLYS
147 CLEVELAND ST
ORANGE, NJ 07050-2749
Phone number: 201-463-4356
Mailing Address
-- JEANCLAUDE JEANLYS
147 CLEVELAND ST
ORANGE, NJ 07050-2749
Phone number: