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Individual

RAQUEL FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
1 DUNBAR CT, BEDMINSTER, NJ 07921
(570) 982-0652
Mailing address
1 DUNBAR CT, BEDMINSTER, NJ 07921-1425

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18900600
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR18900600
NJ

Other

Enumeration date
07/09/2018
Last updated
08/14/2019
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