Individual
KATHERINE ROCIO PEREZ GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 ETHEL AVE, HAWTHORNE, NJ 07506-2125
(305) 744-2657
Mailing address
36 ETHEL AVE, HAWTHORNE, NJ 07506-2125
(305) 744-2657
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
872996
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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