| Jessica Ridgway, Llc | |
|
53 S Main St Medford NJ 08055-2442 | |
| (856) 333-1340 | |
| Not Available |
| Full Name | Jessica Ridgway, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 53 S Main St, Medford, New Jersey |
| Authorized Official Name and Position | Jessica Ridgway (OWNER) |
| Authorized Official Contact | 8563331340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ridgway, Llc 53 S Main St Ste E Medford NJ 08055-2442 Ph: (856) 333-1340 | Jessica Ridgway, Llc 53 S Main St Medford NJ 08055-2442 Ph: (856) 333-1340 |
| NPI Number | 1861027013 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861027013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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