Individual
TALAIYA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 DURHAM CT, MOUNT LAUREL, NJ 08054-4226
(800) 950-6066
Mailing address
2304 DURHAM CT, MOUNT LAUREL, NJ 08054-4226
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06182500
NJ
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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