Individual
SIA KENDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PAINE AVENUE, IRVINGTON, NJ 07111
(973) 592-2703
Mailing address
102 PAINE AVENUE, IRVINGTON, NJ 07111
(973) 592-2703
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
11/15/2024
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