Individual
JULIA LIRA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 PARK AVE, ELIZABETH, NJ 07208-1349
(908) 337-5863
Mailing address
724 PARK AVE, ELIZABETH, NJ 07208-1349
(908) 337-5863
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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