Individual
MARIANNA LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 CHEYENNE TRL, SPARTA, NJ 07871-2925
(201) 317-7414
Mailing address
81 CHEYENNE TRL, SPARTA, NJ 07871-2925
(201) 317-7414
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO11023300
NJ
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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