Individual
RAVEN NEWCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 MAIN ST STE 403, PATERSON, NJ 07503-3298
(973) 321-8326
Mailing address
13 HARRIS CT, LAWRENCE, NJ 08648-2625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06266600
NJ
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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