Individual
UDANA TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JOHN ST, LINDEN, NJ 07036-1842
(718) 809-3236
Mailing address
1001 JOHN ST, LINDEN, NJ 07036-1842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
733273
NY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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