Individual
LISA JOY FETCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN.ED, RN
Contact information
Practice address
23 PRIMROSE PL, DELRAN, NJ 08075-2818
(609) 781-5627
(856) 461-8138
Mailing address
23 PRIMROSE PL, DELRAN, NJ 08075-2818
(609) 781-5627
(856) 461-8138
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
26NR11111900
NJ
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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