Individual
LOURDES SARDOMA-LIWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 BURNS PL, UNION, NJ 07083-5622
(908) 404-9260
Mailing address
2618 BURNS PL, UNION, NJ 07083-5622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
432070
NY
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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