Individual
SHANAYA RECALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
80 MIDLAND PL, NEWARK, NJ 07106-2806
(973) 979-1262
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25ME00062901
NJ
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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