Individual
CANDIDA ISABEL GRANDE-KEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 2ND ST APT A, BRIDGEWATER, NJ 08807-3470
(908) 745-1785
Mailing address
630 2ND ST APT A, BRIDGEWATER, NJ 08807-3470
(908) 745-1785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06384100
NJ
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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