Individual
ALREEMA VINING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
2 CUSTER AVE, NEWARK, NJ 07112-2542
(862) 622-3142
(973) 556-1936
Mailing address
PO BOX 1313, NEWARK, NJ 07101-1313
(862) 622-3142
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175T00000X
Peer Specialist
—
—
374J00000X
Doula
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0771538
—
NJ
Enumeration date
03/08/2021
Last updated
05/02/2023
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