Individual
JUSTEIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 LINCOLN AVE APT 313, ORANGE, NJ 07050-2653
(973) 570-7140
Mailing address
32 LINCOLN AVE APT 313, ORANGE, NJ 07050-2653
(973) 570-7140
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NJ
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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