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Individual

MS. NICOLE MARIA MEOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MS,RNFA

Contact information

Practice address
15 W LAKE RD, MEDFORD, NJ 08055-8105
(856) 810-3970
Mailing address
15 W LAKE RD, MEDFORD, NJ 08055-8105
(856) 810-3970

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
NO092853
NJ

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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