Individual
MS. GAYLENE DORIS MAICHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 667-3346
Mailing address
43 EDGEWOOD AVE, NUTLEY, NJ 07110-1841
(973) 667-3346
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
Primary
—
NJ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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