Individual
CHASTHELY ESPINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 87TH ST, NORTH BERGEN, NJ 07047-5106
(201) 270-9100
Mailing address
701 87TH ST, NORTH BERGEN, NJ 07047-5106
(201) 270-9100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317795
NY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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