Individual
MARLON OLIVER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
261 CONNECTICUT DR, SUITE 5, BURLINGTON, NJ 08016-4177
(800) 950-6066
Mailing address
261 LOIS LN, LAKEWOOD, NJ 08701-4858
(732) 367-1350
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000261070
NJ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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