Individual
RENEE MALTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 WASHINGTON ST, ORANGE, NJ 07050-1932
(973) 677-2273
Mailing address
335 S PINE AVE, MAPLE SHADE, NJ 08052-1806
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
07025
NJ
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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