Individual
MRS. LISA ANNEMARIE CARMELENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 MEA LANE, BEACH HAVEN, NJ 08008
(609) 361-1084
Mailing address
24 MEA LN, BEACH HAVEN, NJ 08008-3633
(609) 361-1084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26N0O7679900
NJ
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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