Individual
MS. CHARISE J VIRGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 ELM ST FL 1, MORRISTOWN, NJ 07960-8803
(973) 267-5339
Mailing address
2097 MORRIS AVE APT 142, UNION, NJ 07083-6077
(908) 623-9125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06217400
NJ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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