FALLON NICOLE WOODFORD

PENNSAUKEN, NJ
NPI1063130870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NJ  26NR24311400)
Enumeration Date2022-08-17
Last Update Date2022-08-17
Business Address
FALLON NICOLE WOODFORD
5261 MARLTON PIKE
PENNSAUKEN, NJ 08109-4701
Phone number: 724-201-6351
Mailing Address
FALLON NICOLE WOODFORD
606 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030-3902
Phone number: