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NPI Code Detail

MEDICARE: MARILOU VILLAREAL RN, BSN

MEDICARE:   MARILOU  VILLAREAL  RN, BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHP0119000NJ

General Provider Information

NPI Number : 1417699190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILOU VILLAREAL RN, BSN
Provider Business Mailing Address
First Line : 7 CLEVELAND ST
Second Line :
City : CALDWELL
State : NJ
Zip : 07006-4909
Country : US
Telephone Number : 973-226-9090
Fax Number : 973-226-9093
Provider Business Practice Location Address
First Line : 7 CLEVELAND ST
Second Line :
City : CALDWELL
State : NJ
Zip : 07006-4909
Country : US
Telephone Number : 973-226-9090
Fax Number : 973-226-9093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2022
Last Update Date : 04/12/2022

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Directions to “ MARILOU VILLAREAL RN, BSN” Practice Location

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