Individual
MRS. PREMILLA MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
73 KAREN PL, EDISON, NJ 08817-2352
(732) 331-8947
Mailing address
73 KAREN PL, EDISON, NJ 08817-2352
(732) 331-8947
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00636900
NJ
Other
Enumeration date
03/01/2017
Last updated
10/08/2024
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