Willie Menoken

NPI 1467878470 - Counselor - 101YM0800X

NPI Details
NPI 1467878470
Gender Male
Enumeration Date 03/14/2014
Last Updated 03/14/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
770 WOODLANE ROAD
MT. HOLLY NJ, 08060, US
Phone (609) 267-5928
Fax
Business Location
215 ATLANTIC ST
BRIDGETON NJ, 08302-2508, US
Phone (856) 776-0620
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Willie Menoken NPI is 1467878470, taxonomy code is 101YM0800X Willie Menoken physically located at 770 Woodlane Road, Mt. Holly NJ, 08060. NPI Number Willie Menoken has the Individual type.

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1467878470 NPI number is provided on an as is basis without warranty of any kind. 1467878470 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Menoken are for informational purposes only.