TYLANIA A COOPER-NNODIM

WILLINGBORO, NJ
NPI1033981907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: GA  theqhq9cec)
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
Mrs. TYLANIA A COOPER-NNODIM Cranial Prosthesis
73 HILLCREST LN
WILLINGBORO, NJ 08046-1235
Phone number: 609-553-4967
Mailing Address
Mrs. TYLANIA A COOPER-NNODIM Cranial Prosthesis
309 FELLOWSHIP RD STE 200
MOUNT LAUREL, NJ 08054-1234
Phone number: 908-793-9125