Individual
MRS. IRAIDA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 SKYLINE DRIVE, LAKE HOPATCONG, NJ 07849
(973) 810-3092
Mailing address
125 MAIN ST, NEWTON, NJ 07860-2037
(973) 978-7336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11631500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
A0114033
NJ
Other
Enumeration date
03/11/2014
Last updated
09/08/2017
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