Individual
BREANNA MARIAH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Mailing address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07640300
NJ
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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