Individual
EDNA PAOLA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5322
(201) 854-6092
Mailing address
45 POPLAR ST FL 2, RIDGEFIELD PARK, NJ 07660-1556
(201) 912-0580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06551000
NJ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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