Individual
SANDRA DASTOLFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34 PEACH TREE LN, BRIDGETON, NJ 08302-5729
(800) 950-6066
Mailing address
34 PEACH TREE LN, BRIDGETON, NJ 08302-5729
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR10813600
NJ
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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