Individual
TASHAYA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 SHETLAND LN, WILLINGBORO, NJ 08046-1011
(609) 496-3071
Mailing address
42 SHETLAND LN, WILLINGBORO, NJ 08046-1011
(609) 496-3071
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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