Individual
TAMARA REGINA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 21ST ST, IRVINGTON, NJ 07111-4109
(973) 261-9141
Mailing address
660 21ST ST, IRVINGTON, NJ 07111-4109
(973) 261-9141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2000689
NJ
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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