Individual
MS. DARA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 EUCLID AVE, ABERDEEN, NJ 07747-2406
(848) 248-7215
Mailing address
125 EUCLID AVE, ABERDEEN, NJ 07747-2406
(848) 248-7215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01083800
NJ
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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