Individual
MS. JUANITA YVONNE BRATHEWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
317 BROADWAY, CAMDEN, NJ 08103
(856) 365-3519
(856) 365-9215
Mailing address
317 BROADWAY, CAMDEN, NJ 08103
(856) 365-3519
(856) 365-9215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
264NP05270500
NJ
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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