Individual
MRS. ELLA L HERITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 BRIDGETON AVE, BRIDGETON, NJ 08302-1218
(609) 557-7041
Mailing address
7 BRIDGETON AVE, BRIDGETON, NJ 08302-1218
(609) 557-7041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
08/07/2019
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