Individual
REAN EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 837-4600
Mailing address
324A S WILLOW AVE, GALLOWAY, NJ 08205-4662
(917) 819-9955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07875100
NJ
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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