Individual
LOAN TO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
(973) 992-4720
Mailing address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04357600
NJ
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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