Individual
KEILA IVONNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
25 CENTRAL AVE, DOVER, NJ 07801-3488
(973) 270-5478
Mailing address
25 CENTRAL AVE, DOVER, NJ 07801-3488
(973) 270-5478
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14929900
NJ
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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