Individual
MS. GRETCHEN BRIDGET SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 SEASIDE AVE, MARMORA, NJ 08223-1033
(856) 332-2399
Mailing address
204 SEASIDE AVE, MARMORA, NJ 08223-1033
(856) 332-2399
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05532300
NJ
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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