Individual
MA ISABEL INEZ MONTINOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1139 WEBER ST, UNION, NJ 07083-5826
(347) 955-7559
Mailing address
1139 WEBER ST, UNION, NJ 07083-5826
(347) 955-7559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6127591
NY
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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