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Organization
HEAVEN SENT MEDICAL SERVICES LLC
Active
Organization
HEAVEN SENT MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENAY PARKER ANP (CHIEF EXECUTIVE OFFICER)
(732) 259-5156
Entity
Organization
Contact information
Practice address
284 E LAKE AVE, RAHWAY, NJ 07065-4942
(732) 259-5156
Mailing address
284 E LAKE AVE, RAHWAY, NJ 07065-4942
(732) 259-5156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00084000
NJ
Other
Enumeration date
09/19/2010
Last updated
01/09/2012
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