Individual
MISS NADEGE THIMOTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 BROADWAY, APT. 2C, ELIZABETH, NJ 07206-1800
(732) 900-0014
Mailing address
101 BROADWAY, APT. 2C, ELIZABETH, NJ 07206-1800
(732) 900-0014
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300218-1
NY
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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