Individual
MRS. MILDRED LOPEZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ROWLAND AVENUE, HACKENSACK, NJ 07601
(201) 341-4677
Mailing address
12 ROWLAND AVENUE, HACKENSACK, NJ 07601
(201) 341-4677
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
S130018
NJ
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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