Individual
SCHELLA MOUTE MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 MANOR DR APT A, UNION, NJ 07083-4420
(561) 693-7953
Mailing address
1806 MANOR DR APT A, UNION, NJ 07083-4420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18431800
NJ
Other
Enumeration date
01/20/2018
Last updated
11/02/2018
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