Individual
MARIELLE KENYON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 8TH ST, HOBOKEN, NJ 07030-5022
(201) 541-8600
Mailing address
322 BLOOMFIELD ST APT 3, HOBOKEN, NJ 07030-4823
(908) 721-6683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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