Individual
MIRLEIVIS D SANCHEZ RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 CROSS AVE, ELIZABETH, NJ 07208-3505
(551) 556-8691
Mailing address
935 CROSS AVE, ELIZABETH, NJ 07208-3505
(551) 556-8691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15043700
NJ
Other
Enumeration date
07/03/2023
Last updated
09/26/2024
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