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Jennifer Provda
NPI 1740502749 · on the registry since 2010 · sole proprietor
Practice
- Address
- 49 Wagon Ln
Cherry Hill, NJ 08002 - Phone
- (856) 482-9543
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey