Individual
OVED PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 GROVE ST, RIDGEFIELD PARK, NJ 07660-1403
(646) 714-7878
Mailing address
23 GROVE ST, RIDGEFIELD PARK, NJ 07660-1403
(646) 714-7878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
356501
NY
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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