Individual
MRS. LOURDES MOJICA SUMILANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
28 WEBSTER ST, RIDGEFIELD PARK, NJ 07660-1425
(201) 641-5612
Mailing address
28 WEBSTER ST, RIDGEFIELD PARK, NJ 07660-1425
(201) 641-5612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
342222
NY
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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