Individual
MRS. ANNTOINETTE N/A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
248 KEARNY AVE, KEARNY, NJ 07032-2505
(201) 998-8787
Mailing address
20 3RD ST APT 2, NEWARK, NJ 07107-4460
(973) 277-0972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04892900
NJ
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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