Individual
MINA O. DWAMENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2200
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14997600
NJ
Other
Enumeration date
04/19/2024
Last updated
06/18/2024
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