Individual
KAMILA YUSUPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S KINDERKAMACK RD, MONTVALE, NJ 07645-2166
(201) 930-9010
Mailing address
20 S KINDERKAMACK RD, MONTVALE, NJ 07645-2166
(201) 930-9010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04146400
NJ
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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