JENNIFER ALICEA REVOREDO

SOUTH ORANGE, NJ
NPI1801239363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NJ  25MP00304400)
Enumeration Date2013-04-15
Last Update Date2017-03-07
Business Address
Ms. JENNIFER ALICEA REVOREDO PA
20 VALLEY ST STE 320
SOUTH ORANGE, NJ 07079-2881
Phone number: 973-313-1113
Mailing Address
Ms. JENNIFER ALICEA REVOREDO PA
20 VALLEY ST STE 320
SOUTH ORANGE, NJ 07079-2881
Phone number: 973-313-1113