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Organization

HEAVEN SENT MEDICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN RENAY PARKER ANP (CHIEF EXECUTIVE OFFICER)
(732) 259-5156
Entity
Organization

Contact information

Practice address
284 E LAKE AVE, RAHWAY, NJ 07065-4942
(732) 259-5156
Mailing address
284 E LAKE AVE, RAHWAY, NJ 07065-4942
(732) 259-5156

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00084000
NJ

Other

Enumeration date
09/19/2010
Last updated
01/09/2012
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