Individual
MARY ELLEN DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
809 DEVON RD, RIVERSIDE, NJ 08075-4118
(800) 950-6066
Mailing address
809 DEVON RD, RIVERSIDE, NJ 08075-4118
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO12152200
NJ
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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