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Tijuana Lane

NPI 1457131955 · on the registry since 2023 · sole proprietor

Practice

Address
535 Cinnaminson Ave
Palmyra, NJ 08065
Phone
(856) 287-3578

Registry record

Primary taxonomy
335E00000X
335E00000X
Also registered as
335E00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey