Individual
MONIRA S BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
97 HOPKINS PL, IRVINGTON, NJ 07111-4305
(973) 583-9107
(973) 399-1705
Mailing address
97 HOPKINS PL, IRVINGTON, NJ 07111-4305
(973) 583-9107
(973) 399-1705
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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