Individual
CHARLOTTE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(723) 923-6769
Mailing address
1 PIERREPONT ST APT 4B, BROOKLYN, NY 11201-3302
(646) 244-1535
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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