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Individual

RAQUEL B CEDENO ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10 MITCHELL ST, APT4, WEST ORANGE, NJ 07052-5131
(347) 987-9630
Mailing address
10 MITCHELL ST, APT4, WEST ORANGE, NJ 07052-5131
(347) 987-9630

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
627057-1
NY

Other

Enumeration date
05/21/2010
Last updated
05/21/2010
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