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Individual

TOWANDA MICHEL BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 347-5432
Mailing address
3 REED RD, HILLSBOROUGH, NJ 08844-4547
(908) 347-5432

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ01186200
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01186200
NJ

Other

Enumeration date
08/06/2021
Last updated
06/12/2024
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