Individual
MARY SONGONUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 PATRICIA CT, SOUTH ORANGE, NJ 07079-2701
(201) 407-3617
Mailing address
525 PATRICIA CT, SOUTH ORANGE, NJ 07079-2701
(201) 407-3617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279023
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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