Individual
MISS SADE DUFFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 38TH ST, IRVINGTON, NJ 07111-1260
(973) 289-5033
Mailing address
106 38TH ST, IRVINGTON, NJ 07111-1260
(973) 289-5033
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07627200
NJ
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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