Individual
NICOLE JOSHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 DR JAMES PARKER BLV, RED BANK, NJ 07701
(404) 428-6090
Mailing address
242 DR JAMES PARKER BLV, RED BANK, NJ 07701
(404) 428-6090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014184352
GA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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