Ednal Humberto Avalos, LPN
Licensed Practical Nurse in Perth Amboy, NJ. Individual provider (NPI-1).
NPI number1841069358
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1841069358
- Entity type
- Individual (NPI-1)
- Name
- Ednal Humberto Avalos
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2023
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP49525700 | NJ | Yes |
Practice location
360 Neville StPerth Amboy, NJ 08861-3346
Phone 732-277-1907
Mailing address
360 Neville StPerth Amboy, NJ 08861-3346
Phone 732-277-1907
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