Individual
RUTH MARIE DE MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
(732) 367-8859
Mailing address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04890300
NJ
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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