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Individual

MRS. AMANDA IRENE CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
18 CHICKS WAY, BROWNS MILLS, NJ 08015-1716
(609) 321-5332

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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