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Individual

MARINA M AWADALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
76 STATE ST APT 22, BLOOMFIELD, NJ 07003-2681
(973) 415-4162
Mailing address
76 STATE ST APT 22, BLOOMFIELD, NJ 07003-2681
(973) 415-4162

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
89727
CA

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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