Provider / Organization | NPI | Date Certified |
---|---|---|
JOANNE DUMERAND | 1366052920 | 2024-03-10 |
Joanne Dumerand is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366052920. Registration indicates Joanne Dumerand is a provider of services with a specialization in Other Service Providers, Community Health Worker (Community Health Worker, ) (Community Health Worker, Other Service Providers)
Entity Type | Individual |
Provider Name | Joanne Dumerand LPN, CCM |
Other Provider Name | Joanne Dee Dumerand |
Practice Office Address | 703 RIVERSIDE DR GREENACRES, FL US |
Practice Office Telephone | 5619432321 |
Mailing Address | 703 RIVERSIDE DR GREENACRES, FL 334632386 US |
Business Telephone | 9546355156 |
Address | City / State | Phone / Fax |
---|---|---|
169 Ellery Ave | Newark, NJ 071063503 | 9734895653 |
Code | Practice | License No State |
---|---|---|
172V00000X PRIMARY | Other Service Providers Community Health Worker Community Health Worker Community Health Worker Other Service Providers | |
171400000X |