Individual
MERCY ANIESONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 RUTGERS PL, PARAMUS, NJ 07652-4208
(718) 828-2666
Mailing address
658 RUTGERS PL, PARAMUS, NJ 07652-4208
(718) 828-2666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06640900
NJ
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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