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Individual

MARIA PURITA YBALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN, NP-C

Contact information

Practice address
8100 JOHN F. KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 866-6770
Mailing address
40 BERNICE RD, BELLEVILLE, NJ 07109-1508
(973) 704-2146

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01059100
NJ

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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