Individual
MISS BOYONNEH BROOKS KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
624 NEW WILLOW ST, TRENTON, NJ 08618-3740
(609) 396-7113
Mailing address
624 NEW WILLOW ST, TRENTON, NJ 08618-3740
(609) 396-7113
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
26NP06035500
NJ
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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