Individual
MRS. TINA GODBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2021 NOTTINGHAM WAY, HAMILTON, NJ 08619-3029
(609) 587-1059
Mailing address
2021 NOTTINGHAM WAY, HAMILTON, NJ 08619-3029
(609) 587-1059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04954700
NJ
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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