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Individual

MS. PETAL PATRICIA FORBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
36 OAKLAND AVENUE, SOMERSET, NJ 08873
(732) 843-7760
Mailing address
36 OAKLAND AVENUE, SOMERSET, NJ 08873
(732) 843-7760

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
NJ
311ZA0620X
Adult Care Home Facility
Primary
NJ
347C00000X
Private Vehicle
NJ
3747A0650X
Attendant Care Provider
NJ
3747P1801X
Personal Care Attendant
NJ

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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