Individual
IVELANDE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
60 E PARK ST APT 21B, EAST ORANGE, NJ 07017-1638
(201) 407-6877
Mailing address
60 E PARK ST APT 21B, EAST ORANGE, NJ 07017-1638
(201) 407-6877
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06217800
NJ
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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