Individual
MS. ALLYSSA VENDIOLA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 HIGH ST FL 2A, MOUNT HOLLY, NJ 08060-1476
(609) 474-0120
(609) 474-0121
Mailing address
1 LETHBRIDGE PLZ STE 20, MAHWAH, NJ 07430-2114
(609) 474-0120
(609) 474-0121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716134
NY
363L00000X
Nurse Practitioner
26NJ00953400
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00953400
NJ
Other
Enumeration date
07/15/2016
Last updated
01/14/2025
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