Individual
DORETHA KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 US HIGHWAY 206, STANHOPE, NJ 07874-3275
(800) 805-6989
Mailing address
308 RYERSON AVE APT 4, PATERSON, NJ 07502-1118
(973) 932-8459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04922500
NJ
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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