Individual
MS. TYSHEKA ADRIENNE TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
852 TULIP ST, CAMDEN, NJ 08104-2663
(856) 757-4150
Mailing address
852 TULIP ST, CAMDEN, NJ 08104-2663
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN152075L
PA
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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