Individual provider · Type 1 NPI

Gabriella Altagracia Genao

Student in an Organized Health Care Education/Training Program · Nutley, NJ

NPI number 1225743339 Active

Practice location

123 Metro Blvd
Nutley, NJ 07110-6101

Mailing address

99 W Maple Ave
Allendale, NJ 07401-1206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225743339

Gabriella Altagracia Genao's National Provider Identifier is 1225743339, issued on Jan 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nutley, NJ. The record was last updated on Jan 23, 2023.