Individual
MRS. MELISA PHEBEAN LIGHTFOOT-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4100
Mailing address
43 APPLEMAN RD, SOMERSET, NJ 08873-1739
(908) 421-1916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO12444300
NJ
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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