Individual
MARIAN NWALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 DICKERSON ST, NEWARK, NJ 07107-4359
(347) 885-8737
Mailing address
116 DICKERSON ST, NEWARK, NJ 07107-4359
(347) 885-8737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337090
NY
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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