Individual
HERBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5298 LAUREL AVE, PENNSAUKEN, NJ 08109-1226
(800) 950-6066
Mailing address
5298 LAUREL AVE, PENNSAUKEN, NJ 08109-1226
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP01967200
NJ
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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