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Individual

MARIE MERTHILDE SANON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-5543
Mailing address
287 VIRGINIA AVE, JERSEY CITY, NJ 07304-1420
(201) 536-9071

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01081700
NJ

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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