Kishara Bryant-derrick LPN

NPI 1750527339 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1750527339
Gender Female
Enumeration Date 01/02/2009
Last Updated 01/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
107 DEAL AVE
NEPTUNE NJ, 07753-3726, US
Phone (800) 950-6066
Fax
Business Location
107 DEAL AVE
NEPTUNE NJ, 07753-3726, US
Phone (800) 950-6066
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New Jersey
License Number 26NP05280500
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According to our database, Kishara Bryant-derrick LPN NPI is 1750527339, taxonomy code is 164W00000X and license number is 26NP05280500, license state is located at New Jersey. Kishara Bryant-derrick LPN physically located at 107 Deal Ave, Neptune NJ, 07753-3726. NPI Number Kishara Bryant-derrick LPN has the Individual type.

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1750527339 NPI number is provided on an as is basis without warranty of any kind. 1750527339 is maintained by the National Plan & Provider Enumeration System. The contents of Kishara Bryant-derrick LPN are for informational purposes only.