Individual
LUCIE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 ROUTE 9 N, WOODBRIDGE, NJ 07095-1004
(732) 826-6932
Mailing address
306 ROUTE 9 N, WOODBRIDGE, NJ 07095-1004
(732) 826-6932
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD3799
NJ
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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