Individual
MRS. MARISSA SOLIS GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
20 BEEKMAN PL, FAIR HAVEN, NJ 07704-3102
(732) 530-7168
Mailing address
20 BEEKMAN PL, FAIR HAVEN, NJ 07704-3102
(732) 530-7168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A1007099
NJ
Other
Enumeration date
05/19/2008
Last updated
09/23/2008
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