Search › New Jersey › 101YM0800X

Jidvett Fabian

NPI 1871373381 · on the registry since 2023

Practice

Address
1809 Brand Ave
Clementon, NJ 08021
Phone
(347) 624-9984

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-02

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