Individual
DR. MARISSA GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
654 SALMON AVE, DEPTFORD, NJ 08096-3656
(609) 617-7848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151775
NJ
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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