Individual
EVELYN ADANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 ELIZABETH AVE APT 5A, NEWARK, NJ 07112-2561
(347) 334-9795
Mailing address
455 ELIZABETH AVE APT 5A, NEWARK, NJ 07112-2561
(347) 334-9795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33163
NY
164W00000X
Licensed Practical Nurse
3338163
NY
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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