Search › New Jersey › 106S00000X
Gianna Vassallo
NPI 1700445418 · on the registry since 2019
Practice
- Address
- 801 Birchfield Dr
Mount Laurel, NJ 08054 - Phone
- (484) 631-1223
- Organisation at this address
- Laurel Light Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-07
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