Individual
MR. GODFREY OKPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
69 STEWART AVE, PH, IRVINGTON, NJ 07111-1724
(973) 207-7639
Mailing address
69 STEWART AVE, PH, IRVINGTON, NJ 07111-1724
(973) 207-7639
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304846-1
NY
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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