Individual
MISS LOLETA RUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306804-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340947-1
NY
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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