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Individual

ZULAY FUNDORA CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
323 SUNSET AVE, OLD BRIDGE, NJ 08857-1357
(908) 267-4690
Mailing address
323 SUNSET AVE, OLD BRIDGE, NJ 08857-1357
(908) 267-4690

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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