Individual
MISS LISA SILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
22 BALL ST, IRVINGTON, NJ 07111-3521
(973) 372-1095
(973) 372-1096
Mailing address
22 BALL ST, IRVINGTON, NJ 07111-3521
(973) 372-1095
(973) 372-1096
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NJ
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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