Individual
MS. YOKASTA HERASME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 LAKE ST, NEWARK, NJ 07104-1331
(917) 334-3867
Mailing address
465 LAKE ST, NEWARK, NJ 07104-1331
(917) 334-3867
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R60017907952821
NJ
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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