Individual
WANDA I ESCALERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 21ST ST, NORTH BERGEN, NJ 07047-2092
(917) 370-4486
Mailing address
1110 21ST ST, NORTH BERGEN, NJ 07047-2092
(917) 370-4486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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