EVA DONNA MANGLICMOT BANAG

NEPTUNE, NJ
NPI1457865529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ  26NJ00780700)
Enumeration Date2017-11-27
Last Update Date2017-11-27
Business Address
EVA DONNA MANGLICMOT BANAG APN
1945 ROUTE 33
NEPTUNE, NJ 07753-4859
Phone number: 732-776-4307
Mailing Address
EVA DONNA MANGLICMOT BANAG APN
1015 GRASSMERE AVE
OCEAN, NJ 07712-4227
Phone number: