Individual
TRACY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 NORTH MAIN ST, MILLTOWN, NJ 08850
(732) 600-1500
Mailing address
50 RICHTER AVE, MILLTOWN, NJ 08850-1508
(732) 600-1500
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
18KT00683300
NJ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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