Individual
OPHELIA RACHELL CHILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 KENSINGTON AVE, PLAINFIELD, NJ 07060
(973) 941-1123
Mailing address
767 KENSINGTON AVE, PLAINFIELD, NJ 07060-1913
(973) 941-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
784299
NJ
Other
Enumeration date
11/17/2010
Last updated
06/12/2019
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