Individual
DR. DULA F PACQUIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-8536
(973) 972-3225
Mailing address
208 TINGLEY LN, EDISON, NJ 08820-1479
(973) 972-8536
(973) 972-3225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO06555400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NO06555400
RN LICENSE
NJ
Enumeration date
02/19/2007
Last updated
07/08/2007
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