KEMPOLLY DATISHA SWABY

ORANGE, NJ
NPI1750056495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: NJ  26NJ01183500)
Enumeration Date2021-08-13
Last Update Date2021-08-17
Business Address
MS. KEMPOLLY DATISHA SWABY
531 LINCOLN AVE
ORANGE, NJ 07050-2122
Phone number: 973-941-6617
Mailing Address
MS. KEMPOLLY DATISHA SWABY
531 LINCOLN AVE
ORANGE, NJ 07050-2122
Phone number: 973-941-6617
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