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Individual

JESSICA LYNN VASSALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 782-0005
Mailing address
411 TUDOR TER, SOMERS POINT, NJ 08244-2036
(609) 816-7021

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP08140700
NJ

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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