Individual
VICTORIA DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 FERRY ST, NEWARK, NJ 07105-1805
(973) 465-0482
Mailing address
512 BLOOMFIELD AVE APT 7A, CALDWELL, NJ 07006-5517
(848) 283-9784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP08108200
NJ
Other
Enumeration date
10/24/2023
Last updated
10/30/2023
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