Individual
ERMIDE C LADOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 REDSPIRE DR, UNION, NJ 07083-5063
(908) 380-8994
Mailing address
1018 REDSPIRE DR, UNION, NJ 07083-5063
(908) 380-8994
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ15170100
NJ
Other
Enumeration date
11/29/2024
Last updated
12/18/2024
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