Individual
LISA ANN AVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA CHHA
Contact information
Practice address
68 HAWTHORNE AVE, HAWTHORNE, NJ 07506-1311
(973) 870-1973
Mailing address
68 HAWTHORNE AVE, HAWTHORNE, NJ 07506-1311
(973) 870-1973
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
N0000529720
NJ
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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