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Jeanine Marie Potenza
Respite Care in Hackensack, New Jersey
NPI 1295258333

Jeanine Marie Potenza is a Respite Care based in Maywood, NJ. Jeanine Marie Potenza practices in Hackensack, NJ. The NPI Number for Jeanine Marie Potenza is 1295258333 and holds a License No. 00375093 (New Jersey).

The current practice location address for Jeanine Marie Potenza is 41 Fairmount Ave Apt 8B, Hackensack, NJ and can be reached out via phone at 201-478-1547.

Location: 41 Fairmount Ave Apt 8B, Hackensack, NJ, 07607-7122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295258333
Provider Name
Jeanine Marie Potenza
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Fairmount Ave Apt 8B, Hackensack, NJ, 07607-7122
Phone Number
201-478-1547
Fax Number
Provider Enumeration Date
07/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Fairmount Ave Apt 8B
City
Hackensack
State
New Jersey
Zip
07601-4747
Phone Number
201-478-1547
Fax Number
person
Provider Business Mailing Address Details
Address
41 Fairmount Ave Apt 8B
City
Hackensack
State
New Jersey
Zip
07601-4747
Phone Number
201-478-1547
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
00375093 (New Jersey)
Definition
Definition to come.
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