Individual
MRS. GUETTY GABAUD-DUMESLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 485-6433
Mailing address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 485-6433
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00661800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00661800
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00661800
NJ
Other
Enumeration date
08/23/2016
Last updated
03/27/2017
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