Provider Demographics
NPI:1760823850
Name:ARCAMO, DEBB JUTER T (LPN)
Entity type:Individual
Prefix:MR
First Name:DEBB JUTER
Middle Name:T
Last Name:ARCAMO
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:MR
Other - First Name:DJ
Other - Middle Name:
Other - Last Name:ARCAMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:195 FRIES MILL RD
Mailing Address - Street 2:APT # 1706
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2006
Mailing Address - Country:US
Mailing Address - Phone:856-302-6635
Mailing Address - Fax:
Practice Address - Street 1:195 FRIES MILL RD
Practice Address - Street 2:APT # 1706
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2006
Practice Address - Country:US
Practice Address - Phone:856-302-6635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP06157700164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse