Individual
CLARISSA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 MYRTLE AVE, NEPTUNE, NJ 07753-4553
(732) 618-3937
Mailing address
527 MYRTLE AVE, NEPTUNE, NJ 07753-4553
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
NA8678900
NJ
Other
Enumeration date
11/16/2024
Last updated
03/07/2025
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