Individual
MESHACK OWUOR ODAWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MARSHALL ST APT 6H, IRVINGTON, NJ 07111-8684
(908) 205-7699
Mailing address
1 MARSHALL ST APT 6H, IRVINGTON, NJ 07111-8684
(908) 205-7699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15259700
NJ
Other
Enumeration date
05/31/2024
Last updated
02/04/2025
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