Individual
YORLENI MAYORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E REDMAN AVE, HADDONFIELD, NJ 08033-2314
(856) 433-2100
Mailing address
25 E REDMAN AVE, HADDONFIELD, NJ 08033-2314
(856) 433-2100
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
PA
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246Z00000X
OTHER
PA
Enumeration date
08/13/2021
Last updated
08/13/2021
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