Individual
BLONDYNE LEXINE-KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
879 W CHESTNUT ST, UNION, NJ 07083-6933
(908) 468-1433
Mailing address
879 W CHESTNUT ST, UNION, NJ 07083-6933
(908) 468-1433
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
HI
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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