Individual
LYNDA M JEANTY-EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TEMPLE LN, WILLINGBORO, NJ 08046-3705
(609) 401-7996
(609) 614-6188
Mailing address
19 TEMPLE LN, WILLINGBORO, NJ 08046-3705
(609) 401-7996
(609) 614-6188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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