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Individual

DIANA CUBILLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
752 GREELEY AVE, FAIRVIEW, NJ 07022-1099
(201) 575-8261
Mailing address
752 GREELEY AVE, FAIRVIEW, NJ 07022-1099
(201) 575-8261

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07222900
NJ

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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