Individual
MARILYN ELISE SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 290-9040
Mailing address
166 MAIN ST, MATAWAN, NJ 07747-3104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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