Individual
MARY WUMMI EGBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2056 INDIAN DR, VINELAND, NJ 08361-6411
(856) 899-8944
Mailing address
2056 INDIAN DR, VINELAND, NJ 08361-6411
(856) 899-8944
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR216587
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15179300
NJ
Other
Enumeration date
03/04/2020
Last updated
01/23/2025
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