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-- GRACE AFFUL --

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1730405168
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
750 N BROAD ST APT 12A, ELIZABETH, NJ, 072082436
Phone
(988) 662-3454

Specialties & Taxonomies

Registered Nurse Primary License: NY #552973-1

All Addresses

MAILING

750 N BROAD ST APT 12A

ELIZABETH, NJ, 072082436

(988) 662-3454

LOCATION

750 N BROAD ST APT 12A

ELIZABETH, NJ, 072082436

(988) 662-3454