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Individual

MRS. LATASHIA MOZEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
514 HAWTHORNE AVE, SUITE #3, NEWARK, NJ 07112-1336
(973) 489-6961
(973) 991-0774
Mailing address
514 HAWTHORNE AVE, 1, NEWARK, NJ 07112-1336
(973) 900-0938
(973) 991-0774

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA200016172
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA200016172
CERTIFIED NURSING ASSISTANCE
NJ
Enumeration date
09/16/2015
Last updated
09/16/2015
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