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Individual

FRED LWAKAAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
281 MATHISTOWN RD, LITTLE EGG HARBOR TWP, NJ 08087-4066
(609) 857-4141
Mailing address
61 ASHLEY DR, FRANKLINVILLE, NJ 08322-2686
(732) 986-3486

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00731800
NJ

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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