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Individual

WALEADE OMOWUMI YUSUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1213 WESTFIELD AVE, CLARK, NJ 07066-1323
(862) 930-0305
Mailing address
275 PROSPECT ST APT 11F, EAST ORANGE, NJ 07017-2879

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15569400
NJ

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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