Individual
MELISSA AMY DESUEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
416 PARK AVE, PATERSON, NJ 07504-1989
(973) 684-8138
Mailing address
416 PARK AVE, APT 1, PATERSON, NJ 07504-1989
(973) 684-8138
(973) 684-0032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00812400
NJ
Other
Enumeration date
03/23/2018
Last updated
08/02/2018
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