Individual
MS. SHIRLEY IDUMONYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 TEANECK RD, TEANECK, NJ 07666-3610
(201) 724-2704
Mailing address
1500 TEANECK RD, TEANECK, NJ 07666-3610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR13950000
NJ
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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