Jose E Hennandez

NPI #1114596434 in Prospect Park, New Jersey

Provider Information

NPI Number: 1114596434
Entity Type: Individual
Name: Jose E Hennandez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jun 21, 2021
Last Updated: Jun 21, 2021

Practice Location

Address: 85 N 17TH ST
City: Prospect Park
State: New Jersey
ZIP Code: 07508-1827
Phone: (862) 297-5378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Contractor	171W00000X	Primary

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