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Organization
SURGICAL NURSE ASSISTANT
Active
Organization
SURGICAL NURSE ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA WARDLOW (RNFA)
(267) 784-1014
Entity
Organization
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 346-6000
Mailing address
1130 W SOMERDALE RD, SOMERDALE, NJ 08083-2230
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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