Individual
MARIA THERESA MAMAUAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 VAN REIPEN AVE, JERSEY CITY, NJ 07306-3937
(201) 932-5117
Mailing address
143 VAN REIPEN AVE, JERSEY CITY, NJ 07306-3937
(201) 932-5117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694435
NY
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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