Individual
MARILYN MIRANDA CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ RM 200, CAMDEN, NJ 08103-1438
(856) 342-2001
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO10757800
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00966200
NJ
Other
Enumeration date
09/06/2019
Last updated
11/13/2019
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