Individual
KERRY STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Mailing address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NO78980
NJ
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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