Individual
EMILY MVUDUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8008 35TH AVE APT 1C, JACKSON HEIGHTS, NY 11372-4935
(968) 770-9424
Mailing address
8008 35TH AVE APT 1C, JACKSON HEIGHTS, NY 11372-4935
(978) 770-9424
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
776522
NY
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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