Individual
SANDRA PONTECORVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3 COLEMAN RD, E BRUNSWICK, NJ 08816-3623
(800) 950-6066
Mailing address
3 COLEMAN RD, E BRUNSWICK, NJ 08816-3623
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05751600
NJ
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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