Individual
ALYCIA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
(609) 332-0561
Mailing address
2500 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR14486600
NJ
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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