Individual
KENE DENEEN BOOKER-MAHATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
16 RICHEY PL, TRENTON, NJ 08618-5604
(609) 273-9211
Mailing address
16 RICHEY PL, TRENTON, NJ 08618-5604
(609) 273-9211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR1691500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01289500
NJ
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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