Individual
MS. VANESA KODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1590 ANDERSON AVE APT 2J, FORT LEE, NJ 07024-2707
(201) 247-5226
Mailing address
1590 ANDERSON AVE APT 2J, FORT LEE, NJ 07024-2707
(201) 247-5226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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