Individual
PATRIA POLIQUIT SARDOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 SASSAFRAS DR, SICKLERVILLE, NJ 08081-4603
(609) 845-5622
Mailing address
28 SASSAFRAS DR, SICKLERVILLE, NJ 08081-4603
(609) 845-5622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR10512000
NJ
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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