Individual
EROKPAIDAMWEN LOVETH EGUAVOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 S 7TH ST FL 1, NEWARK, NJ 07103-2312
(862) 438-4765
Mailing address
320 S 7TH ST, NEWARK, NJ 07103-2312
(862) 438-4765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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