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Queionna Mone Rennick, 32WG07641300
Prosthetic/Orthotic Supplier in Jersey City, New Jersey
NPI 1053028977

Queionna Mone Rennick is a Prosthetic/Orthotic Supplier based in Jersey City, NJ. Queionna Mone Rennick practices in Jersey City, NJ and has the professional credentials of 32WG07641300. The NPI Number for Queionna Mone Rennick is 1053028977 and holds a License No. 32WG07641300 (New Jersey).

The current practice location address for Queionna Mone Rennick is 203 Belvidere Ave, Jersey City, NJ and can be reached out via phone at 551-344-5948.

Location: 203 Belvidere Ave, Jersey City, NJ, 07306-6604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053028977
Provider Name
Queionna Mone Rennick
Credential
32WG07641300
Provider Entity Type
Individual
Gender
Female
Address
203 Belvidere Ave, Jersey City, NJ, 07306-6604
Phone Number
551-344-5948
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 Belvidere Ave
City
Jersey City
State
New Jersey
Zip
07306-6604
Phone Number
551-344-5948
Fax Number
person
Provider Business Mailing Address Details
Address
203 Belvidere Ave
City
Jersey City
State
New Jersey
Zip
07306-6604
Phone Number
551-344-5948
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
32WG07641300 (New Jersey)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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