Most Relevant Information
Provider Data
| NPI Number: | 1003383936 |
| Provider Name: | JAQUEL WINDBUSH NSHC |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2018 |
| Last Updated: | 10/29/2018 |
Provider Practice Location
1244 THORNTON AVE
PLAINFIELD
NJ
070602652
Practice Location Phone/Fax
| Phone: | 9739784682 |
| Fax: |
Provider Mailing Location
1244 THORNTON AVE
PLAINFIELD
NJ
070602652
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |