Sandra Pontecorvo, LPN
Licensed Practical Nurse in E Brunswick, NJ. Individual provider (NPI-1).
NPI number1427200070
StatusActive
Last updated in NPPESOct 15, 2008
Details
- NPI
- 1427200070
- Entity type
- Individual (NPI-1)
- Name
- Sandra Pontecorvo
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2008
- Last updated
- Oct 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP05751600 | NJ | Yes |
Practice location
3 Coleman RdE Brunswick, NJ 08816-3623
Phone 800-950-6066
Mailing address
3 Coleman RdE Brunswick, NJ 08816-3623
Phone 800-950-6066
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