Individual
SANDRA ALVES GANDAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8901 KENNEDY BLVD STE 1W, NORTH BERGEN, NJ 07047-5344
(201) 430-2022
Mailing address
316 CLEVELAND AVE, HARRISON, NJ 07029-1310
(201) 982-0590
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ14890600
NJ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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