JAPETH SANDOVAL DEMETRIA

NUTLEY, NJ
NPI1386018497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00603600)
Enumeration Date2015-12-01
Last Update Date2015-12-01
Business Address
-- JAPETH SANDOVAL DEMETRIA
27 DE VAUSNEY PL
NUTLEY, NJ 07110-2610
Phone number: 973-342-5352
Mailing Address
-- JAPETH SANDOVAL DEMETRIA
27 DE VAUSNEY PL
NUTLEY, NJ 07110-2610
Phone number: 973-342-5352
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