Individual
BEVERLY ANNE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MATTHEWS AVE, VILLAS, NJ 08251-2415
(215) 301-8357
Mailing address
206 MATTHEWS AVE, VILLAS, NJ 08251-2415
(215) 301-8357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R239189L
PA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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