Heaven Sent Medical Services Llc

NPI 1467760843 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1467760843
Enumeration Date 09/19/2010
Last Updated 01/09/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LYNN RENAY LYNN
Position CHIEF EXECUTIVE OFFICER
Phone (732) 259-5156
Fax
Practice Location
284 E LAKE AVE
RAHWAY NJ, 07065-4942, US
Phone (732) 259-5156
Fax
Business Location
284 E LAKE AVE
RAHWAY NJ, 07065-4942, US
Phone (732) 259-5156
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00084000
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According to our database, Heaven Sent Medical Services Llc NPI is 1467760843, taxonomy code is 363LA2200X and license number is 26NJ00084000, license state is located at New Jersey. Heaven Sent Medical Services Llc physically located at 284 E Lake Ave, Rahway NJ, 07065-4942. NPI Number 1033115704 has the healthcare provider type.

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1467760843 NPI number is provided on an as is basis without warranty of any kind. 1467760843 is maintained by the National Plan & Provider Enumeration System. The contents of Heaven Sent Medical Services Llc are for informational purposes only.