Individual
MS. SUSAN RAY NIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 UNIVERSITY PL, PRINCETON, NJ 08540-5122
(908) 202-4751
Mailing address
4343 BLOOMINGDALE DR, HILLSBOROUGH, NJ 08844-5556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
099402473
NJ
Other
Enumeration date
01/02/2018
Last updated
03/17/2018
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