Individual
MA CRISTINA VALENCIA GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
725 JORALEMON ST UNIT 59, BELLEVILLE, NJ 07109-1482
(862) 215-7643
Mailing address
725 JORALEMON ST UNIT 59, BELLEVILLE, NJ 07109-1482
(862) 215-7643
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00379100
NJ
Other
Enumeration date
05/24/2012
Last updated
10/23/2020
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