Individual
LAKISHA CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 AVON RD, CHERRY HILL, NJ 08034-1808
(267) 709-0688
Mailing address
205 AVON RD, CHERRY HILL, NJ 08034-1808
(267) 709-0688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282633
PA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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