Individual
LILIAN AKINYI ILAMAHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2982 HIGHWAY 516, OLD BRIDGE, NJ 08857-2325
(866) 389-2727
Mailing address
2901 RIVENDELL WAY, EDISON, NJ 08817-2073
(862) 902-9443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01208000
NJ
Other
Enumeration date
03/08/2022
Last updated
07/14/2022
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