Individual
KEESHIA GARCIA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
901 ERNSTON RD, SOUTH AMBOY, NJ 08879-2000
(732) 585-1815
Mailing address
13 PARKWOOD DR APT 13F, SOUTH AMBOY, NJ 08879-2301
(862) 212-2951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07755400
NJ
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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