Individual
MS. SANDRA KAY MAMARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
550 DORIAN RD, WESTFIELD, NJ 07090-3302
(908) 789-4500
Mailing address
180 COTTAGE PL, WESTFIELD, NJ 07090-2817
(908) 232-7629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00031700
NJ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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