Individual
DAMILOLA EUNICE FENWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
501 THOREAU TER, UNION, NJ 07083-7829
(862) 224-0308
(862) 224-0308
Mailing address
501 THOREAU TER, UNION, NJ 07083-7829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026024500
NJ
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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