Individual
LIUDMILA EVDOKIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3836 QUAKERBRIDGE RD STE 206, HAMILTON, NJ 08619-1006
(609) 246-3864
Mailing address
3836 QUAKERBRIDGE RD STE 206, HAMILTON, NJ 08619-1006
(609) 246-3864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00557300
NJ
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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