Individual
SHELLY YAMASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
484 S BREWSTER RD, VINELAND, NJ 08361-7874
(856) 451-4700
Mailing address
726 BRIDGETON AVE, BRIDGETON, NJ 08302-4805
(856) 297-2625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11644400
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00593000
NJ
Other
Enumeration date
08/26/2015
Last updated
09/30/2015
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