Individual
WANDA LYNN SERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
350 PREAKNESS AVE, PATERSON, NJ 07502-1757
(973) 595-1075
Mailing address
1266 TEANECK RD APT 8, TEANECK, NJ 07666-4947
(917) 567-5989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07315800
NJ
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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