Individual
TAMARA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PROSPECT ST APT 10D, EAST ORANGE, NJ 07017-2321
(973) 876-1685
Mailing address
75 PROSPECT ST APT 10D, EAST ORANGE, NJ 07017-2321
(973) 444-5128
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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