Individual
SHIVAA ARJYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 610-4637
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01081100
NJ
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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