Individual
TANNEH PAULENNA AGBOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1435 LIBERTY ST, HAMILTON, NJ 08629-2220
(609) 599-5433
(609) 475-4662
Mailing address
1435 LIBERTY ST, HAMILTON, NJ 08629-2220
(609) 599-5433
(609) 475-4662
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00500900
NJ
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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