Individual
MISS EULALIA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 373-6453
Mailing address
238 CARLTON TER, TEANECK, NJ 07666-3402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00960000
NJ
Other
Enumeration date
12/03/2019
Last updated
12/14/2019
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