Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | CRESTA, NICOLE AKA RIVERA, NICOLE · RIVERA, NICOLE AKA CRESTA, NICOLE | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
Sector | RN | [sources] | |||
Status | not available | [sources] | |||
Address | 2009 KICKAPOO TERRACE, VINELAND, NJ 08361 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-3599e1218f9b1358071ff123cca056c3d38f9f0b
· us-mednj-a74497e2d8bbf5de38db94f62a4543a5ff404d3c
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
2009 KICKAPOO TERRACE, VINELAND, NJ 08361 | United States |