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Individual

MRS. HOSANA RAZON TORDECILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
520 ATLANTIC AVE, LONG BRANCH, NJ 07740-6832

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00712200
NJ

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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