Individual
MISS REKA SOMODI MANFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4949
(732) 776-4843
Mailing address
3400 SPRUCE ST, 5 RHOADS, PHILADELPHIA, PA 19104
(215) 662-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00128200
NJ
Other
Enumeration date
03/31/2007
Last updated
04/08/2016
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