STEPHANIE CARMEN CUSTODIO

BRIDGETON, NJ
NPI1881385797
Former NameSTEPHANIE CARMEN VELEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NJ  26NP04816700)
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
STEPHANIE CARMEN CUSTODIO
25 E BROAD ST
BRIDGETON, NJ 08302-2503
Phone number: 856-459-2402
Mailing Address
STEPHANIE CARMEN CUSTODIO
1026 FALCON WAY
VINELAND, NJ 08360-4469
Phone number: 609-805-6509