Individual
LUCILLE DORTHY DEMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTIC PHYSICI
Contact information
Practice address
96 COLES AVE, HACKENSACK, NJ 07601
(201) 343-4962
(201) 343-0675
Mailing address
96 COLES AVE, HACKENSACK, NJ 07601
(201) 343-4962
(201) 343-0675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00148200
NJ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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