Individual
SARALA TIMALSENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 W SIDE AVE, JERSEY CITY, NJ 07306-6967
(856) 400-1541
Mailing address
1062 W SIDE AVE, JERSEY CITY, NJ 07306-6967
(856) 400-1541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
692784-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692784-1
LICENSE#
NY
Enumeration date
12/02/2015
Last updated
12/02/2015
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