NPI 1053028977

Queionna Mone Rennick, WG

Practitioner Prosthetic/Orthotic Supplier Jersey City, NJ

Practice location

Address: 203 Belvidere Ave, Jersey City, NJ 07306-6604
Phone: (551) 344-5948

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 32WG07641300 (NJ)

Other Prosthetic/Orthotic Supplier providers in New Jersey →

Registry record

NPI: 1053028977
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2022
Record last updated: 31 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.