Individual
MRS. CAROL JACQUELINE RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
92 2ND ST STE 420, HACKENSACK, NJ 07601-2191
(551) 996-5811
Mailing address
13-14 HOPPER AVE, FAIR LAWN, NJ 07410-2211
(201) 952-3249
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00649700
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00649700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00649700
NJ
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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