Individual
MILAGROS MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3333 PARK AVE, UNION CITY, NJ 07087-5913
(201) 558-0094
Mailing address
3333 PARK AVE, UNION CITY, NJ 07087-5913
(201) 558-0094
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07375300
NJ
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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