Individual
MISS MICHELE DE LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
31 ROSS ST, CLARK, NJ 07066-2635
(732) 827-0955
Mailing address
31 ROSS ST, CLARK, NJ 07066-2635
(732) 827-0955
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00159000
NJ
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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