Individual
MIAROSE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/IBCLC
Contact information
Practice address
54 FOREST PL, ROCHELLE PARK, NJ 07662-3719
(201) 658-4282
Mailing address
54 FOREST PL, ROCHELLE PARK, NJ 07662-3719
(201) 658-4282
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-86969
NJ
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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