Individual
MS. DEATRAH DESHAWNDA DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
95 MADISON AVE, MORRISTOWN, NJ 07960-6092
(973) 971-7300
Mailing address
227 HENRY CT, NORTH PLAINFIELD, NJ 07060-3923
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NN097464
NJ
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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