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Individual

DANINE MARIE NIROOMAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 S MAIN RD STE 103, VINELAND, NJ 08360-7829
(856) 563-8159
Mailing address
201 BLACKWOOD CLEMENTON RD APT 1313, LINDENWOLD, NJ 08021-6845
(856) 716-1074

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N46151537452662
DRIVERS LICENSE
NJ
Enumeration date
05/17/2022
Last updated
05/17/2022
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