Individual
FABIONA MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 CENTRAL AVE APT 402, ORANGE, NJ 07050-2552
(202) 873-4795
Mailing address
445 CENTRAL AVE APT 402, ORANGE, NJ 07050-2552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309270
NY
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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