Individual
KAYLA KATHLEEN POALILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 LAWRENCE RD, NEWTON, NJ 07860-2821
(973) 948-7595
Mailing address
496 ROUTE 519, WANTAGE, NJ 07461-2900
(609) 851-1747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15039100
NJ
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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