Individual
MALLISSA LEE VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(732) 445-4636
Mailing address
49 BILLINGSLEY DR, LIVINGSTON, NJ 07039-4624
(973) 879-8186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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