Individual
DULCE CORAZON MENDOZA BAYOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
264 CUSTER AVE, JERSEY CITY, NJ 07305-1705
(201) 433-9417
Mailing address
264 CUSTER AVE, JERSEY CITY, NJ 07305-1705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01015100
NJ
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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