EDITA PETILOS LUANSING

RIDGEWOOD, NJ
NPI1598141053
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: NJ  26NJ00576300)
Enumeration Date2015-08-07
Last Update Date2021-04-13
Business Address
Mrs. EDITA PETILOS LUANSING WHNP-BC
317 FRANKLIN AVE
RIDGEWOOD, NJ 07450-3316
Phone number: 201-447-1620
Mailing Address
Mrs. EDITA PETILOS LUANSING WHNP-BC
317 FRANKLIN AVE
RIDGEWOOD, NJ 07450-3316
Phone number: 201-447-1620
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