Individual
DIONA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
416 FISHER AVE, NEPTUNE, NJ 07753-4649
(732) 456-4115
Mailing address
416 FISHER AVE, NEPTUNE, NJ 07753-4649
(732) 456-4115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07302500
NJ
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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