Individual
CASEY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4296
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2895
(856) 405-4296
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
26NR16074700
NJ
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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