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Individual

FALLON NICOLE WOODFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5261 MARLTON PIKE, PENNSAUKEN, NJ 08109-4701
(724) 201-6351
Mailing address
606 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030-3902

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR24311400
NJ

Other

Enumeration date
08/17/2022
Last updated
08/17/2022
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