Individual
MISS TRACY DENISE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
261 CONNECTICUT DR STE 5, BURLINGTON, NJ 08016-4177
(609) 387-7322
(609) 387-7540
Mailing address
847 BRADFORD DR, VINELAND, NJ 08360-4307
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26P05622200
NJ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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