Individual
VIVIANE J MIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
85 TAPPAN RD, NORWOOD, NJ 07648-1728
(917) 572-0945
Mailing address
85 TAPPAN RD, NORWOOD, NJ 07648-1728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329094
NY
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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