Individual
LAURA MARIA HERNANDEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 CENTRAL AVE # D7, NEWARK, NJ 07102-1909
(973) 877-5487
Mailing address
540 BROAD ST APT 1507, NEWARK, NJ 07102-3151
(862) 381-9967
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
07/18/2022
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