Individual
EVELYN MOSQUEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 LUNN AVE, BERGENFIELD, NJ 07621-2521
(347) 262-3053
Mailing address
81 LUNN AVE, BERGENFIELD, NJ 07621-2521
(347) 262-3053
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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