Individual
OLENA A PERVYKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
99 GORGE RD APT 1208, EDGEWATER, NJ 07020-1094
(917) 942-9853
Mailing address
99 GORGE RD APT 1208, EDGEWATER, NJ 07020-1094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR22414100
NJ
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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