Iliana C Matienzo
Iliana C Matienzo is a Student in an Organized Health Care Education/Training Program in North Bergen, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
526 78th StNorth Bergen, NJ 07047-4927
Phone: (551) 482-9205
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1598513616 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2024 |
| Last updated in NPPES | May 13, 2024 |
| Certification date | May 13, 2024 |
| Mailing address | 526 78th St, North Bergen, NJ 07047-4927 |
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