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Individual

ANASTACIA NYAMONGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
416 CATOR AVE # 2, JERSEY CITY, NJ 07305-2003
(201) 705-2324
Mailing address
416 CATOR AVE # 2, JERSEY CITY, NJ 07305-2003
(201) 705-2324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
824393
NY
163W00000X
Registered Nurse
82439301
NY

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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