Individual
MS. VANESSA A CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MAT
Contact information
Practice address
17 PARKER AVE, MAPLEWOOD, NJ 07040-1327
(973) 762-5600
(973) 378-7607
Mailing address
240 GROSS ST, SOUTH AMBOY, NJ 08879-2033
(732) 525-9390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00040400
NJ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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