Individual
MRS. BRIANNA JENELLE HANEKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 LAUREL OAK RD STE 105, VOORHEES, NJ 08043-4455
(856) 922-9895
Mailing address
400 LAUREL OAK RD STE 105, VOORHEES, NJ 08043-4455
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
25NR13841800
NJ
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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