Individual
TEMIMA RACHEL WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 608-2608
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 608-2608
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
25MJ00086100
NJ
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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