Individual
JEANINE M CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186 WILLIAMSBURG LN, LAKEWOOD, NJ 08701-1475
(732) 806-5799
(732) 487-3670
Mailing address
PO BOX 1258, LAKEWOOD, NJ 08701-1008
(732) 806-5799
(732) 487-3670
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA107355
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA107355
NH DOH
NJ
Enumeration date
01/15/2021
Last updated
01/15/2021
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