Individual
YILENNY DEJESUS DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
936 E 23RD ST, PATERSON, NJ 07513-1518
(973) 968-0511
Mailing address
936 E 23RD ST, PATERSON, NJ 07513-1518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00872300
NJ
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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