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MILAGROS MERCEDES GUERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
191 HIGHLAND AVE, KEARNY, NJ 07032-2009
(201) 927-5751
Mailing address
191 HIGHLAND AVE, KEARNY, NJ 07032-2009
(201) 927-5751

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
761105
NY
164W00000X
Licensed Practical Nurse
Primary
310474
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588915870
NY
Enumeration date
09/26/2012
Last updated
10/16/2019
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