Individual
JEROME WESLEY MCCALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 SPRUCE TRL, SWEDESBORO, NJ 08085-4008
(215) 275-1999
Mailing address
212 SPRUCE TRL, SWEDESBORO, NJ 08085-4008
(215) 275-1999
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/20/2023
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