Individual
MS. TRACIEY JUANITA COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
222 NORTH DENNIS DRIVE, CLAYTON, NJ 08312
(856) 625-8635
Mailing address
222 NORTH DENNIS DRIVE, CLAYTON, NJ 08312
(856) 625-8635
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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