Individual
MS. JAVON TELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 N OHIO AVE, ATLANTIC CITY, NJ 08401-2028
(609) 381-9877
Mailing address
1016 N OHIO AVE, ATLANTIC CITY, NJ 08401
(609) 381-9877
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NJ
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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