Individual
MS. TAI'ASIA ASHLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1119
(973) 623-0600
Mailing address
659 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1119
(973) 623-0600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
Other
Enumeration date
01/22/2024
Last updated
02/06/2024
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