Individual
MIA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 ELLEEN TER APT 11C, HACKENSACK, NJ 07601-3129
(551) 301-5033
Mailing address
222 ELLEEN TER APT 11C, HACKENSACK, NJ 07601-3129
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
559127
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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