Organization
CLEARWATERS HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYCELINE LOTT RN (REGISTERED NURSE)
(732) 982-2673
Entity
Organization
Contact information
Practice address
615 HOPE RD, BUILDING 5B, EATONTOWN, NJ 07724-1277
(732) 982-2673
(848) 456-4599
Mailing address
615 HOPE RD, BUILDING 5B, EATONTOWN, NJ 07724-1277
(732) 982-2673
(848) 456-4599
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NO06244100
NJ
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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