Individual
MESODE SOBE UDUAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4345 US 9, FREEHOLD, NJ 07728-4215
(732) 431-5300
Mailing address
4345 US 9, FREEHOLD, NJ 07728-4215
(732) 431-5300
(732) 431-5301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01400000
NJ
Other
Enumeration date
11/21/2022
Last updated
06/13/2024
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