Individual
AMANDA L BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
409 BIRCH ST, FRONT, VINELAND, NJ 08360-2708
(856) 362-5648
Mailing address
409 BIRCH ST, FRONT, VINELAND, NJ 08360-2708
(856) 362-5648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04660800
NJ
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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