Individual
NATASHA ESCUDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7891
Mailing address
19 MOUNT PLEASANT AVE, WOODLAND PARK, NJ 07424-2857
(973) 902-4058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
E80145810059922
NJ
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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