Gaytosha Brandon LPN

NPI 1396987806 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1396987806
Gender Female
Enumeration Date 03/30/2009
Last Updated 03/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
24 BELLEVIEW AVE APT A
KEANSBURG NJ, 07734-1205, US
Phone (800) 950-6066
Fax
Business Location
24 BELLEVIEW AVE APT A
KEANSBURG NJ, 07734-1205, US
Phone (800) 950-6066
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New Jersey
License Number 26NP05280600
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According to our database, Gaytosha Brandon LPN NPI is 1396987806, taxonomy code is 164W00000X and license number is 26NP05280600, license state is located at New Jersey. Gaytosha Brandon LPN physically located at 24 Belleview Ave Apt A, Keansburg NJ, 07734-1205. NPI Number Gaytosha Brandon LPN has the Individual type.

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1396987806 NPI number is provided on an as is basis without warranty of any kind. 1396987806 is maintained by the National Plan & Provider Enumeration System. The contents of Gaytosha Brandon LPN are for informational purposes only.