Individual
BARBARA BROKENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 MORRIS AVE, PENNS GROVE, NJ 08069-1211
(800) 950-6066
Mailing address
109 MORRIS AVE, PENNS GROVE, NJ 08069-1211
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP0442900
NJ
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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