Individual
KEVALYN CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
409 LAUREL ST, VINELAND, NJ 08360-2718
(800) 950-6066
Mailing address
409 LAUREL ST, VINELAND, NJ 08360-2718
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05443300
NJ
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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