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Individual

BRIBGET AHENKORAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
220 MOUNT VERNON PL, NEWARK, NJ 07106-3146
(973) 489-4357
Mailing address
220 MOUNT VERNON PL, NEWARK, NJ 07106-3146

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778072
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
778072
NY
Enumeration date
12/24/2019
Last updated
12/24/2019
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