Individual
MR. CLEMENT AKAHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 W KINNEY ST APT 2B, NEWARK, NJ 07102-1138
(197) 323-0105
Mailing address
103 W KINNEY ST APT 2B, NEWARK, NJ 07102-1138
(197) 323-0105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14915100
NJ
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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