Individual
JONATHAN CREADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MAIN ST STE 30-2, TOMS RIVER, NJ 08753-7458
(732) 213-3834
Mailing address
30 MAIN ST STE 30-2, TOMS RIVER, NJ 08753-7458
(732) 213-3834
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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