Individual
STEPHANIE WANDA CHECO NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 523-1800
Mailing address
166 SHERIDAN AVE, CLIFTON, NJ 07011-3336
(862) 368-2657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00850600
NJ
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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