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Individual

VIVIEN TIETCHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
36 FABISZEWSKI WAY, PARLIN, NJ 08859-1691
(732) 429-6303
(732) 767-2975
Mailing address
36 FABISZEWSKI WAY, PARLIN, NJ 08859-1691
(732) 429-6303
(732) 767-2975

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00293600
NJ

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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