FRADI J. BACK

LAKEWOOD, NJ
NPI1447500905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  659045)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
FRADI J. BACK RN
325 11TH ST
LAKEWOOD, NJ 08701-1825
Phone number: 732-616-3838
Mailing Address
FRADI J. BACK RN
325 11TH ST
LAKEWOOD, NJ 08701-1825
Phone number: 732-616-3838