Individual
MRS. MANDY S LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5809 MAIN STREET, ST VINCENT DE PAUL REGIONAL SCHOOL, MAYS LANDING, NJ 08330
(609) 625-1565
Mailing address
2250 HICKORY ROAD SUITE 240, PLYMOUTH MEETING, PA 19462
(800) 879-4471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO11756000
NJ
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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