AMY LEE FARSIDE

GALLOWAY, NJ
NPI1891179156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00433500)
Enumeration Date2015-07-16
Last Update Date2015-07-16
Business Address
Miss AMY LEE FARSIDE APN
310 CHRIS GAUPP DR STE 102
GALLOWAY, NJ 08205-4461
Phone number: 609-652-9933
Mailing Address
Miss AMY LEE FARSIDE APN
4144 POST RD
VINELAND, NJ 08360-9313
Phone number: 609-319-2152
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