Individual
NYAQUOI K KARGBO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 E WOOD ST STE 205, VINELAND, NJ 08360-3752
(856) 308-3139
Mailing address
382 E COS COB DR, GALLOWAY, NJ 08205-3719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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