Individual
TAKWA GAMALELDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
377 VALLEY RD UNIT 3482, CLIFTON, NJ 07013-1319
(973) 947-6323
Mailing address
108-136 MARTIN LUTHER KING JR BLVD APT B2012, NEWARK, NJ 07104-5348
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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