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1497236467
DIANA LISSETTE HERNANDEZ
NORTH BERGEN, NJ
NPI
1497236467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NJ 26NJ00847500)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
DIANA LISSETTE HERNANDEZ APN
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-854-5000
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Mailing Address
DIANA LISSETTE HERNANDEZ APN
101 61ST ST APT 1
WEST NEW YORK, NJ 07093-2940
Phone number: 201-618-8913
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