Individual
FABIOLA DESRAMEAUX JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 DRAKE AVE, ROSELLE, NJ 07203-2222
(908) 290-6510
Mailing address
1024 DRAKE AVE, ROSELLE, NJ 07203-2222
(908) 290-6510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NH11347300
NJ
164W00000X
Licensed Practical Nurse
Primary
319898-1
NY
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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