Individual
ILONE COSETTA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ROSEHILL PL, IRVINGTON, NJ 07111-3050
(973) 845-8222
Mailing address
110 ROSEHILL PL, IRVINGTON, NJ 07111-3050
(973) 845-8222
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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