Individual
WANDA E INCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BROAD ST STE 208, BLOOMFIELD, NJ 07003-2548
(973) 338-0124
(973) 338-0080
Mailing address
2 BROAD ST STE 208, BLOOMFIELD, NJ 07003-2548
(973) 338-0124
(973) 338-0080
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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