Individual
MRS. MARIE CHANTALE LHERISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31 MOUNTAIN AVE, CEDAR KNOLLS, NJ 07927-1203
(973) 270-0626
Mailing address
31 MOUNTAIN AVE, CEDAR KNOLLS, NJ 07927-1203
(973) 270-0626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00399300
NJ
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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