Individual
MYLEEN MAMARIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WARD AVE, CLIFTON, NJ 07014-1820
(862) 264-3740
Mailing address
1 WARD AVE, CLIFTON, NJ 07014-1820
(862) 264-3740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
616150
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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