Individual
EDNAL HUMBERTO AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
360 NEVILLE ST, PERTH AMBOY, NJ 08861-3346
(732) 277-1907
Mailing address
360 NEVILLE ST, PERTH AMBOY, NJ 08861-3346
(732) 277-1907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49525700
NJ
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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