Individual
MRS. PAMELA SANBUENAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
293 MELROSE PL, SOUTH ORANGE, NJ 07079-1638
(646) 595-7625
Mailing address
1997 MYRTLE ST, UNION, NJ 07083-5334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR19180600
NJ
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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