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Individual

DIANA MARIE KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-7304
(856) 779-9022
Mailing address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-7304
(856) 779-9022

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01932700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4397606
NJ
Enumeration date
09/02/2010
Last updated
09/02/2010
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