Individual
MS. RHONDA LOUISE DIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
770 WOODLANE RD, SUITE 13, WESTAMPTON, NJ 08060-3804
(609) 265-2040
(609) 261-5328
Mailing address
770 WOODLANE RD, SUITE 13, WESTAMPTON, NJ 08060-3804
(609) 265-2040
(609) 261-5328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05691500
NJ
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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