Individual
LORRIE-ANN SWAN-CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 WALNUT ST, LINDEN, NJ 07036-2758
(908) 938-0630
Mailing address
1008 WALNUT ST, LINDEN, NJ 07036-2758
(908) 938-0630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21310800
NJ
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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