Individual
TASHIANNA LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 PROSPECT AVE APT F4, HACKENSACK, NJ 07601-1944
(908) 691-8177
Mailing address
47 PROSPECT AVE APT F4, HACKENSACK, NJ 07601-1944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07381900
NJ
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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