Individual
MRS. LAKISHA DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 BRACE RD STE C, CHERRY HILL, NJ 08034-3524
(856) 333-3783
Mailing address
1417 BRACE RD STE C, CHERRY HILL, NJ 08034-3524
(856) 795-0036
(856) 795-0039
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15543400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
INTERN
NJ
Other
Enumeration date
05/16/2025
Last updated
05/04/2026
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