Individual
JOANNE DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3235 CLARK WALK, CAMDEN, NJ 08104-3325
(800) 950-6066
Mailing address
3235 CLARK WALK, CAMDEN, NJ 08104-3325
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000171049
NJ
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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