MISS Jeanetta Brooks

NPI #1083015663 in Irvington, New Jersey

Provider Information

NPI Number: 1083015663
Entity Type: Individual
Name: MISS Jeanetta Brooks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 688 STUYVESANT AVE
City: Irvington
State: New Jersey
ZIP Code: 07111-4815
Phone: (973) 609-2232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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