Individual
KATHY BUSNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
890 N PEARL ST, BRIDGETON, NJ 08302-1213
(800) 950-6066
Mailing address
890 N PEARL ST, BRIDGETON, NJ 08302-1213
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP02174700
NJ
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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