Individual
MARLYN TABLO ESCALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 LINCOLN ST, SPRING VALLEY, NY 10977-5822
(973) 931-9001
Mailing address
8 LINCOLN ST, SPRING VALLEY, NY 10977-5822
(973) 931-9001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01132500
NJ
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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