Individual
MARISSA RANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 LYNNWOOD ST, PISCATAWAY, NJ 08854-6524
(848) 219-1449
Mailing address
514 LYNNWOOD ST, PISCATAWAY, NJ 08854-6524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00570700
NJ
Other
Enumeration date
05/31/2015
Last updated
05/31/2015
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