Individual
MS. TIERA INEZ MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CALA, CMA, CNA
Contact information
Practice address
201 DAKOTA DR, LAFAYETTE, NJ 07848-4023
(201) 838-2252
Mailing address
201 DAKOTA DR, LAFAYETTE, NJ 07848-4023
(201) 838-2252
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0451013971
NJ
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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