Individual
AGRIPINA MEDINA VISEREP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 07470-7033
(551) 204-8625
Mailing address
245 BARKLEY AVE APT 1, CLIFTON, NJ 07011-3137
(551) 204-8625
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
NJ
374J00000X
Doula
Primary
—
NJ
Other
Enumeration date
09/18/2025
Last updated
10/02/2025
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