Individual
MS. TASHA M SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 14TH AVE APT 209, NEWARK, NJ 07103-2674
(848) 350-5716
(848) 350-5716
Mailing address
101 14TH AVE APT 209, APT 209, NEWARK, NJ 07103-2674
(848) 350-5716
(848) 350-5716
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NJ
Other
Enumeration date
04/25/2023
Last updated
10/07/2025
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