Individual
LETISHA HOGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
765 ROUTE 70 E BLDG A-101, MARLTON, NJ 08053-2341
(856) 797-4800
Mailing address
81 VILLAGE GREEN LN, SICKLERVILLE, NJ 08081-1629
(609) 422-0923
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR16581800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00994500
NJ
Other
Enumeration date
07/02/2019
Last updated
12/03/2024
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