MAILA MARIE MANTILA

HOLMDEL, NJ
NPI1316765266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJ15133600)
Enumeration Date2024-09-30
Last Update Date2024-10-07
Business Address
MAILA MARIE MANTILA NP-C
23 MAIN ST STE D1
HOLMDEL, NJ 07733-2136
Phone number: 732-571-1000
Mailing Address
MAILA MARIE MANTILA NP-C
2 MARLIN CT
JACKSON, NJ 08527-4859
Phone number: