Thea Waters, LPN | |
1101 Atlantic Ave, Atlantic City, NJ 08401-4805 | |
(609) 344-2700 | |
Not Available |
Full Name | Thea Waters |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1101 Atlantic Ave, Atlantic City, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770288953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 26NP06310100 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Thea Waters, LPN 24 Frambes Ave, Pleasantville, NJ 08232-3305 Ph: (609) 328-8484 | Thea Waters, LPN 1101 Atlantic Ave, Atlantic City, NJ 08401-4805 Ph: (609) 344-2700 |
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