Individual
WAHIDAH PRESUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 KINGSBERRY DR, SOMERSET, NJ 08873-4308
(914) 584-2482
Mailing address
120 KINGSBERRY DR, SOMERSET, NJ 08873-4308
(914) 584-2482
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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