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Individual

LOURDES VERGARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
420 DANIEL DR, STEWARTSVILLE, NJ 08886-3204
(908) 337-1005
(908) 454-8914
Mailing address
420 DANIEL DR, STEWARTSVILLE, NJ 08886-3204
(908) 337-1005
(908) 454-8914

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00535000
NJ

Other

Enumeration date
01/08/2015
Last updated
01/08/2015
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