Individual
TATIANA VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
201 LYONS AVE, L4, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Mailing address
189 LIBERTY RD, ENGLEWOOD, NJ 07631-2213
(201) 921-0809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00206200
NJ
Other
Enumeration date
09/21/2009
Last updated
04/20/2012
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