Individual
WILHEMINA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 GARCIA LN, SOMERSET, NJ 08873-7559
(732) 861-5953
Mailing address
2214 GARCIA LN, SOMERSET, NJ 08873-7559
(732) 861-5953
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
862425082
NJ TREASURY
NJ
Enumeration date
03/28/2024
Last updated
03/28/2024
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