Provider Demographics
NPI:1851988687
Name:CLIFTON, GIOVONNA R (CD)
Entity Type:Individual
Prefix:
First Name:GIOVONNA
Middle Name:R
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 452
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-7452
Mailing Address - Country:US
Mailing Address - Phone:856-726-1549
Mailing Address - Fax:
Practice Address - Street 1:808 MARKET ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-1159
Practice Address - Country:US
Practice Address - Phone:856-726-1549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula