MISS Zhanna Radevich
NPI #1528592367 in Bogota, New Jersey
Provider Information
- NPI Number
- 1528592367
- Entity Type
- Individual
- Name
- MISS Zhanna Radevich
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 172 PALISADE AVE
- City
- Bogota
- State
- New Jersey
- ZIP Code
- 07603
- Phone
- (201) 880-5188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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