Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | 31D2200586 | NJ |
NPI | 1225631559 |
---|---|
Provider Name | Cindy D Guarini |
First Address | Bayonne, NJ 07002-5003 |
Second Address | Bayonne, NJ 07002-5003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 14/01/2021 |