Individual
MRS. EKATERINA MISHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 DOMINIC DR, MONROE TWP, NJ 08831-4441
(510) 366-7862
Mailing address
17 DOMINIC DR, MONROE TWP, NJ 08831-4441
(510) 366-7862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR15388400
NJ
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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