Individual
MRS. JUSTINE DEVRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
137 POMONA AVE, PORT REPUBLIC, NJ 08241-9748
(609) 709-0578
(609) 296-1624
Mailing address
137 POMONA AVE, PORT REPUBLIC, NJ 08241-9748
(609) 709-0578
(609) 296-1624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR14542700
NJ
163WS0200X
School Registered Nurse
26NR14542700
NJ
246RP1900X
Phlebotomy Technician
—
NJ
Other
Enumeration date
02/19/2013
Last updated
02/22/2013
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