BRENDA MICHELLE VIVAR

HACKENSACK, NJ
NPI1871219444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJ01364900)
Enumeration Date2022-10-17
Last Update Date2022-10-17
Business Address
Mrs. BRENDA MICHELLE VIVAR APN
357 PROSPECT AVE
HACKENSACK, NJ 07601-2519
Phone number: 551-309-3555
Mailing Address
Mrs. BRENDA MICHELLE VIVAR APN
108 DATER ST
NORTH HALEDON, NJ 07508-2520
Phone number: 201-927-9021
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