Individual
CAROLYN FYNN-ANKUMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WASHINGTON ST, EAST ORANGE, NJ 07017-1432
(862) 224-4114
Mailing address
40 WASHINGTON ST, EAST ORANGE, NJ 07017-1432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
289458
NY
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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