TRICIA S GRAVESANDE

ORANGE, NJ
NPI1730719782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ00959600)
Enumeration Date2020-01-17
Last Update Date2020-01-17
Business Address
Miss TRICIA S GRAVESANDE NP
133 ELM ST
ORANGE, NJ 07050-4001
Phone number: 862-224-0940
Mailing Address
Miss TRICIA S GRAVESANDE NP
133 ELM ST
ORANGE, NJ 07050-4001
Phone number: 186-224-0940
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