Individual
MS. ADELE SOJOURNER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
169 CLINTON AVE, NEWARK, NJ 07108-2817
(732) 791-8155
Mailing address
PECK SLIP STATION PO BOX 937, NEW YORK, NY 10272
(732) 791-8155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
235931
NY
164W00000X
Licensed Practical Nurse
PN152360L
PA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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