Individual
MS. HATTIE LUCILLE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 FREEMAN AVE, EAST ORANGE, NJ 07018-2704
(973) 675-0481
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26N005459000
NJ
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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