Individual
MARIE BELLEVUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 WHALERS DR, ABSECON, NJ 08201-2833
(973) 444-4954
Mailing address
606 WHALERS DR, ABSECON, NJ 08201-2833
(973) 444-4954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304804
NY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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