Individual
MRS. VENITIA ANGELLA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
(732) 486-7373
Mailing address
324 HILLMAN PL, NORTH PLAINFIELD, NJ 07063-1725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00979500
NJ
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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