Individual
EDZIEL ZEPEDA MENCHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
195 LORRAINE AVE APT 1, MONTCLAIR, NJ 07043-1953
(347) 621-8673
Mailing address
195 LORRAINE AVE APT 1, MONTCLAIR, NJ 07043-1953
(347) 621-8673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR15888000
NJ
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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