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Ms. Lisette Ines Purvis
Driver in Camden, New Jersey
NPI 1871255323

Lisette Ines Purvis is a Driver based in Camden, NJ. Lisette Ines Purvis practices in Camden, NJ. The NPI Number for Lisette Ines Purvis is 1871255323 and holds a License No. (New Jersey).

The current practice location address for Lisette Ines Purvis is 1248 Magnolia Ave, Camden, NJ and can be reached out via phone at 856-655-6288.

Location: 1248 Magnolia Ave, Camden, NJ, 08103-2824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871255323
Provider Name
Lisette Ines Purvis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1248 Magnolia Ave, Camden, NJ, 08103-2824
Phone Number
856-655-6288
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1248 Magnolia Ave
City
Camden
State
New Jersey
Zip
08103-2824
Phone Number
856-655-6288
Fax Number
person
Provider Business Mailing Address Details
Address
1248 Magnolia Ave
City
Camden
State
New Jersey
Zip
08103-2824
Phone Number
856-655-6288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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