Individual
MRS. LYNDY M TANIMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6601 VENTNOR AVE STE 105, VENTNOR CITY, NJ 08406
(609) 350-6680
(609) 317-4868
Mailing address
175 W COHAWKIN RD STE C, CLARKSBORO, NJ 08020-1145
(856) 423-7700
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00080800
NJ
Other
Enumeration date
07/22/2006
Last updated
09/24/2019
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