Individual
LAURA CYNTHIA DIMENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
600 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1814
(855) 968-6371
(856) 547-8020
Mailing address
606 HARPER DR, GLASSBORO, NJ 08028-2058
(856) 534-1527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ00960100
NJ
207Q00000X
Family Medicine Physician
Primary
SP020716
PA
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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