Individual
MABEL EUFEMIA TRIGOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
36 WYCKOFF AVE, WALDWICK, NJ 07463-1720
(973) 489-9478
Mailing address
36 WYCKOFF AVE, WALDWICK, NJ 07463-1720
(973) 489-9478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00584300
NJ
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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