Individual
CHARITY MANTEBEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 W GROCHOWIAK ST, SOUTH RIVER, NJ 08882-1539
(609) 254-7360
Mailing address
47 W GROCHOWIAK ST, SOUTH RIVER, NJ 08882-1539
(609) 254-7360
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
GYD5VA
NJ
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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