Individual
MRS. LATANYA WOOD EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 E MADISON AVE, MAGNOLIA, NJ 08049-1409
(856) 602-4838
Mailing address
212 E MADISON AVE, MAGNOLIA, NJ 08049-1409
(856) 602-4838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO07408100
NJ
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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