Individual
MRS. SUSAN LYNN VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
13 SCHEURMAN TER, WARREN, NJ 07059-7154
(908) 347-5066
Mailing address
13 SCHEURMAN TER, WARREN, NJ 07059-7154
(908) 347-5066
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO08337100
NJ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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