Individual
DANIELLE LAMANTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 DELSEA DR, DEPTFORD, NJ 08096-4101
(856) 845-7863
(856) 845-9378
Mailing address
108 WINTERBERRY WAY, DEPTFORD, NJ 08096-5558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02686200
NJ
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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