MINI MINE LLC

LAKEWOOD, NJ
NPI1003557224
Entity TypeOrganization
Authorized ContactMALKA NUSSBAUM
Clinical Director
732-886-8113
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-04-03
Last Update Date2024-06-17
Business Address
MINI MINE LLC
128 MELVILLE AVE
LAKEWOOD, NJ 08701-4235
Phone number: 732-886-8113
Mailing Address
MINI MINE LLC
128 MELVILLE AVE
LAKEWOOD, NJ 08701-4235
Phone number: 732-886-8113