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Jesusa Raiz

NPI 1437481686 · on the registry since 2010 · sole proprietor

Practice

Address
96 Lakewood Ter
Bloomfield, NJ 07003
Phone
(973) 652-6865

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163W00000X
Licence states on file
NY, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-12

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