Individual
COLETTE ANN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1998 ROUTE 70 E, CHERRY HILL, NJ 08003-1834
(856) 424-2000
Mailing address
346 BORTONS MILL RD, CHERRY HILL, NJ 08034-3306
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
43ZA00582800
NJ
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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