Individual
MISS MICHELLE INGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 FOX RUN, NORTH CALDWELL, NJ 07006-4172
(973) 747-2548
Mailing address
30 FOX RUN, NORTH CALDWELL, NJ 07006-4172
(973) 747-2548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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