Individual
TANESHA SOOKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 FERRY ST, NEWARK, NJ 07105-1805
(973) 465-0482
Mailing address
61 FERRY ST, NEWARK, NJ 07105-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21892900
NJ
Other
Enumeration date
01/22/2021
Last updated
10/21/2022
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