Individual
KRISTINA MARIA HEREDIA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NJ-35, CLIFFWOOD, NJ 07721
(732) 812-5489
Mailing address
4 STEPHEN ST, HAZLET, NJ 07730-1825
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR23933100
NJ
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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