SHANDA NICOLE FREDERICK

NEWARK, NJ
NPI1538444989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NJ  26NP06593200)
Enumeration Date2011-10-17
Last Update Date2011-10-17
Business Address
-- SHANDA NICOLE FREDERICK LPN
633 S 19TH ST 1ST FL
NEWARK, NJ 07103-1116
Phone number: 862-576-7768
Mailing Address
-- SHANDA NICOLE FREDERICK LPN
633 S 19TH ST 1ST FL
NEWARK, NJ 07103-1116
Phone number: 862-576-7768
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