LISA MARIE VEENEMA

RIDGEWOOD, NJ
NPI1518250638
Former NameLISA MARIE BREUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00248600)
Enumeration Date2011-05-23
Last Update Date2014-04-15
Business Address
-- LISA MARIE VEENEMA P.A.
1144 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450-3915
Phone number: 201-444-0020
Mailing Address
-- LISA MARIE VEENEMA P.A.
1144 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450-3915
Phone number: 201-444-0020
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