Individual
SANTANDRIA PEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 VANDON LOOP, BERLIN, NJ 08009-9724
(609) 724-6199
Mailing address
211 VANDON LOOP, BERLIN, NJ 08009-9724
(609) 724-6199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281736
NJ
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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