Individual
DINA MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
107 MAGNOLIA DR, LAKEWOOD, NJ 08701-1658
(732) 279-5293
Mailing address
107 MAGNOLIA DR, LAKEWOOD, NJ 08701-1658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14906300
NJ
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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