Individual
MONET WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WALLACE ST, EDISON, NJ 08817-3355
(908) 591-2923
Mailing address
415 WALLACE ST, EDISON, NJ 08817-3355
(908) 591-2923
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1885
N/A
NJ
Enumeration date
09/22/2020
Last updated
09/22/2020
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