Individual
MS. MARIGOLD BRILLANTES-BENGUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 MCADOO AVE, JERSEY CITY, NJ 07305-2018
(646) 331-5611
Mailing address
74 MCADOO AVE, JERSEY CITY, NJ 07305-2018
(646) 331-5611
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
580304
NY
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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