Individual
JEVON CHRISTMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 258-8765
Mailing address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 258-8765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05882300
NJ
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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