Individual
IRONA BLACKELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
568 S CLINTON ST APT 2, EAST ORANGE, NJ 07018-1033
(862) 888-5874
Mailing address
568 S CLINTON ST APT 2, EAST ORANGE, NJ 07018-1033
(862) 888-5874
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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