Individual
TABIRAH BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 484-1309
Mailing address
2 HEALTHQUEST BLVD APT B413, FLEMINGTON, NJ 08822-5843
(973) 286-9068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06940200
NJ
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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