Individual
MRS. SHVONDA TEION BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1713 4TH AVE, SEABROOK, NJ 08302-4215
(856) 455-2310
Mailing address
1713 4TH AVE, SEABROOK, NJ 08302-4215
(856) 455-2310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NJ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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