Individual
TAMIKA SHANEL CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N NEW YORK AVE, ATLANTIC CITY, NJ 08401-2373
(609) 929-5449
Mailing address
911 N NEW YORK AVE, ATLANTIC CITY, NJ 08401-2373
(609) 929-5449
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
334562796
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334562796
—
NJ
Enumeration date
08/05/2025
Last updated
08/05/2025
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