Individual
BRENDA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3036 W BANGS AVE, NEPTUNE, NJ 07753-3603
(732) 492-2105
Mailing address
3036 W BANGS AVE, NEPTUNE, NJ 07753-3603
(732) 492-2105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05435700
NJ
Other
Enumeration date
05/17/2007
Last updated
08/10/2021
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