Individual
VIVIAN IKWUAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 RANDOLPH PL, NEWARK, NJ 07108-1208
(973) 342-7208
Mailing address
22 RANDOLPH PL, NEWARK, NJ 07108-1208
(973) 342-7208
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR17805800
NJ
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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