Individual
ANDREA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14 NORTHVILLE RD, BRIDGETON, NJ 08302-5926
(800) 950-6066
Mailing address
14 NORTHVILLE RD, BRIDGETON, NJ 08302-5926
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05959300
NJ
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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