Individual
MISS LOURDES CAROLINA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
602 BISHOP BLVD, NORTH BRUNSWICK, NJ 08902-1901
(201) 400-8063
Mailing address
602 BISHOP BLVD, NORTH BRUNSWICK, NJ 08902-1901
(201) 400-8063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06613500
NJ
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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