Most Relevant Information
Provider Data
| NPI Number: | 1003028168 |
| Provider Name: | ANTONEA KOUASSI LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 26NP05431600 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
261 CONNECTICUT DR
SUITE 5
BURLINGTON
NJ
080164177
Practice Location Phone/Fax
| Phone: | 8009506066 |
| Fax: |
Provider Mailing Location
242 HEMPSTEAD DR
SOMERSET
NJ
088733970
Provider Mailing Phone/Fax
| Phone: | 7328781317 |
| Fax: |