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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARILYN SOBERANO IV, HEMODIALYSIS RN.

Active Sole Proprietor

MARILYN SOBERANO IV, HEMODIALYSIS RN. is a Hemodialysis Nurse healthcare provider located in RANDOLPH, New Jersey. NPI 1215334347 is currently active in the NPPES registry. Verify at CMS.

Hemodialysis Nurse · RANDOLPH, NJ

Registration Details

NPI Number
1215334347
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2014 (11.726212328837 yrs)
Last Updated
Dec 8, 2014
License
26NO10205000 (NJ)
Sole Proprietor
Yes

Practice Information

Address
2105 BARCLAY CT
RANDOLPH, NJ, 078691270
Browse NJ providers · Browse ZIP 07869
Phone
9739787351
Fax
9739271873
Primary Specialty
Hemodialysis Nurse
163WH0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.