Individual
DONNA DORTISSANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 RITTENHOUSE DR, WILLINGBORO, NJ 08046-2548
(732) 937-3015
Mailing address
45 RITTENHOUSE DR, WILLINGBORO, NJ 08046-2548
(732) 937-3015
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NJ
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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