Individual
DEUH BRIGITTE DAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 CLIFTON AVE, NEWARK, NJ 07104-1872
(973) 482-2113
Mailing address
25 CLIFTON AVE, NEWARK, NJ 07104-1872
(973) 482-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297328
NY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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