Individual
LATOYA D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
18 W BLACKWELL ST, DOVER, NJ 07801-3841
(973) 328-3344
Mailing address
18 W BLACKWELL ST, DOVER, NJ 07801-3841
(973) 328-3344
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00053801
NJ
Other
Enumeration date
08/14/2014
Last updated
04/01/2021
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