SearchNew JerseyProsthetic/Orthotic Supplier

Shantella Rios

NPI 1013539550 · on the registry since 2020 · sole proprietor

Practice

Address
12 Academy St
South Orange, NJ 07079
Phone
(347) 933-4122
Organisation at this address
Private Quarters Hair Salon Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Prosthetic/Orthotic Supplier
335E00000X
Sex
Female
Record last updated
2020-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey