Individual
DIANA MARIBEL SAMBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 GROVE ST FL 1, IRVINGTON, NJ 07111-3717
(917) 530-8051
Mailing address
642 GROVE ST FL 1, IRVINGTON, NJ 07111-3717
(917) 530-8051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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