Individual
SAMIRAH LEGAGNEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 BEVERLY RD, UNION, NJ 07083-7592
(201) 349-4506
Mailing address
1343 BEVERLY RD, UNION, NJ 07083-7592
(201) 349-4506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14948600
NJ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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