Individual
TIFFANY CHANTEL CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2500 MCCLELLAN AVE STE 300, PENNSAUKEN, NJ 08109-0001
(267) 319-0792
Mailing address
452 PARK AVE, WESTVILLE, NJ 08093-2133
(267) 319-0792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05951200
NJ
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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