Individual
MICVHELLE KELLEY-QUILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 361-1100
Mailing address
400 MARKET ST, CAMDEN, NJ 08102-1526
(856) 361-1100
(856) 488-1450
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06770700
NJ
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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