Individual
MS. DAMITA DANIELLE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 HEWITT LN, SICKLERVILLE, NJ 08081-2547
(609) 892-7421
Mailing address
31 HEWITT LN, SICKLERVILLE, NJ 08081-2547
(609) 892-7421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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