Organization
JE SURGICAL ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE PATRICIA EVENSON RNFA CNOR (SURGICAL FIRST ASSISTANT)
(609) 432-2152
Entity
Organization
Contact information
Practice address
21 HARTFORD DR, EGG HARBOR TOWNSHIP, NJ 08234-6996
(609) 432-2152
Mailing address
21 HARTFORD DR, EGG HARBOR TOWNSHIP, NJ 08234-6996
(609) 432-2152
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
26NO12053400
NJ
Other
Enumeration date
01/19/2018
Last updated
01/30/2018
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