| Codi Banzaca, LPN | |
|
2412 6th Ave, Toms River, NJ 08753-6034 | |
| (732) 267-3180 | |
| Not Available |
| Full Name | Codi Banzaca |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2412 6th Ave, Toms River, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457043275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP07284900 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Codi Banzaca, LPN 2412 6th Ave, Toms River, NJ 08753-6034 Ph: (732) 267-3180 | Codi Banzaca, LPN 2412 6th Ave, Toms River, NJ 08753-6034 Ph: (732) 267-3180 |
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