Individual
MARJORY DESULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
57 E CENTRE ST APT 1106, NUTLEY, NJ 07110-5410
(973) 235-0548
Mailing address
57 E CENTRE ST APT 1106, NUTLEY, NJ 07110-5410
(973) 235-0548
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00392200
NJ
Other
Enumeration date
09/18/2012
Last updated
04/22/2019
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