Individual
CANDACE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 TALL PNES, PINE HILL, NJ 08021-7615
(609) 617-2320
Mailing address
3301 TALL PNES, PINE HILL, NJ 08021-7615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06651700
NJ
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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