Individual
CARRIE L BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 N DELSEA DR, VINELAND, NJ 08360-2291
(856) 794-1011
Mailing address
1405 N DELSEA DR, VINELAND, NJ 08360-2291
(856) 794-1011
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22-3127567
—
NJ
Enumeration date
05/06/2022
Last updated
05/06/2022
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