Individual
MARINA IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6889
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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