Individual
LAUREN RUTH MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 DEVINE DR, MAHWAH, NJ 07430-1230
(201) 828-5744
Mailing address
7 DEVINE DR, MAHWAH, NJ 07430-1230
(201) 828-5744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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