Individual
BENJAMIN NWANONENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 FRASER RD, BLACKWOOD, NJ 08012-4528
(215) 561-4673
Mailing address
2 FRASER RD, BLACKWOOD, NJ 08012-4528
(215) 561-4673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0450162902
NJ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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