Individual
JAKEIRRA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 COLONIAL RD, BELLMAWR, NJ 08031-1942
(609) 851-8046
Mailing address
464 COLONIAL RD, BELLMAWR, NJ 08031-1942
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06764500
NJ
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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