Individual
MYA DESTENY HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 RAMAPO VALLEY RD # 100, OAKLAND, NJ 07436-2702
(973) 830-9248
(845) 285-9012
Mailing address
77 PASSAIC AVE, HAWTHORNE, NJ 07506-1433
(862) 213-2243
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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