Individual
MRS. TRACEY M BLACKTON-KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
261 CONNECTICUT DR, BURLINGTON, NJ 08016-4177
(609) 387-7322
Mailing address
7 CASTLETON LN, MOORESTOWN, NJ 08057-3049
(856) 642-9798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO11913500
NJ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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