Individual
MISS CONNIE D HABERSHAM-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 216, PLYMOUTH, PA 19462
(800) 950-6066
(609) 387-7540
Mailing address
261 CONNECTICUT DR, STE 5, BURLINGTON, NJ 08016-0151
(856) 785-8109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP03799200
NJ
Other
Enumeration date
07/26/2007
Last updated
04/25/2008
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