Individual
MRS. ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 LINCOLN DR W, MARLTON, NJ 08053-1534
(856) 983-9001
Mailing address
1001 LINCOLN DR W, MARLTON, NJ 08053-1534
(856) 983-9001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09058400
NJ
Other
Enumeration date
04/05/2013
Last updated
01/06/2014
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