Individual
AUDREY MICHIKU MAGBOJOS NUESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
349 VALLEY ST, SOUTH ORANGE, NJ 07079-2857
(973) 327-7868
Mailing address
349 VALLEY ST, SOUTH ORANGE, NJ 07079-2857
(973) 327-7868
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02216900
NJ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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