Individual
JATIRAH A DIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WINANS ST, EAST ORANGE, NJ 07017-3512
(908) 290-5293
Mailing address
PO BOX 93, RAHWAY, NJ 07065-0093
(908) 290-5293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/17/2021
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