Individual
GRACE MOGAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5549 BRIDLE RD, STROUDSBURG, PA 18360-9197
(201) 344-8780
Mailing address
5549 BRIDLE RD, STROUDSBURG, PA 18360-9197
(201) 344-8780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25MA11637200
NJ
363LF0000X
Family Nurse Practitioner
SP024892
PA
Other
Enumeration date
01/13/2022
Last updated
11/09/2022
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