Individual
MS. MIQUIA DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 PERRY ST, TRENTON, NJ 08618-3968
(609) 394-8988
(609) 599-1561
Mailing address
132 PERRY ST, TRENTON, NJ 08618-3968
(609) 394-8988
(609) 599-1561
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102903
—
NJ
Enumeration date
07/28/2022
Last updated
07/28/2022
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