Individual
KRISTINE DIMITUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
494 RIVER RD, BOGOTA, NJ 07603-1020
(201) 674-2532
Mailing address
494 RIVER RD, BOGOTA, NJ 07603-1020
(201) 674-2532
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
678292
NY
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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