MARY TERESA DESANE

LAKEWOOD, NJ
NPI1497058275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: NJ  26NJ00299700)
Enumeration Date2010-12-16
Last Update Date2011-10-27
Business Address
-- MARY TERESA DESANE apn-bc
725 AIRPORT RD
LAKEWOOD, NJ 08701-5968
Phone number: 732-276-1510
Mailing Address
-- MARY TERESA DESANE apn-bc
4 UPTON PL
OCEAN, NJ 07712-3708
Phone number: 732-922-2078