Individual
GLADYS GYAMFUAH FOKUOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11-13 GOODWIN AVE # 1, NEWARK, NJ 07112-3629
(702) 354-6022
Mailing address
11-13 GOODWIN AVE # 1, NEWARK, NJ 07112-3629
(702) 354-6022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR24600500
NJ
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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