Individual
SHAQUETTA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N MAPLE AVE, EAST ORANGE, NJ 07017-4341
(973) 676-1000
(973) 395-7154
Mailing address
118 N MAPLE AVE, EAST ORANGE, NJ 07017-4341
(973) 676-1000
(973) 395-7154
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07307000
NJ
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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