Individual
MARIAH VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-4000
Mailing address
26 HYDE AVE, ISELIN, NJ 08830-2328
(201) 668-0688
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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