Therese Exantus, | |
324 S Center St, Apt C-1, Orange, NJ 07050-3326 | |
(973) 609-0117 | |
Not Available |
Full Name | Therese Exantus |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 324 S Center St, Orange, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629338967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 307782 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Therese Exantus, 324 S Center St, Apt C-1, Orange, NJ 07050-3326 Ph: (973) 609-0117 | Therese Exantus, 324 S Center St, Apt C-1, Orange, NJ 07050-3326 Ph: (973) 609-0117 |
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