Individual
MARIE ANTENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 WARREN AVE APT 1, ROSELLE PARK, NJ 07204-2227
(201) 780-8018
Mailing address
59 WARREN AVE APT 1, ROSELLE PARK, NJ 07204-2227
(201) 780-8018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341706
NY
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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