Individual
MRS. DJALIKA SANOGO-GOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-FC
Contact information
Practice address
87 TOLEDO LN, WILLINGBORO, NJ 08046-3744
(215) 586-0950
Mailing address
87 TOLEDO LN, WILLINGBORO, NJ 08046-3744
(215) 586-0950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ01024600
NJ
207Q00000X
Family Medicine Physician
SP022025
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01024600
NJ
Other
Enumeration date
04/03/2020
Last updated
10/08/2020
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