Individual
MS. JATESHA PORTIA-ARLEE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
142 LAFAYETTE STREET, NEWARK, NJ 07105-0710
(908) 858-2820
Mailing address
142 LAFAYETTE STREET, NEWARK, NJ 07105
(908) 858-2820
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP06352100
NJ
164W00000X
Licensed Practical Nurse
Primary
284553
NY
Other
Enumeration date
09/24/2009
Last updated
05/16/2022
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