Individual
EJIRO ODUNTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
Mailing address
38 MUHAMMAD ALI AVE APT 2B, NEWARK, NJ 07108-3031
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR21261000
NJ
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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