Individual
DIANA REEVES-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 CONSUMER SQ, MAYS LANDING, NJ 08330-3326
(609) 645-8612
Mailing address
532 WILLOW OAK DR., MAYS LANDING, NJ 08330
(609) 892-6035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02277500
NJ
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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