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Krista Dettle
NPI 1699099689 · on the registry since 2010
Practice
- Address
- 38 Glenwood Ave
Lake Hiawatha, NJ 07034 - Phone
- (201) 787-6939
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-18
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