| NPI | 1558516260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESHELL GLASGOW MANSOR Owner 856-885-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00097200) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2021-10-26 |