Individual
LATONIA D SUYDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
540 BORDENTOWN AVE STE 203, SOUTH AMBOY, NJ 08879-1546
(732) 963-2626
Mailing address
214 UNION AVE, UNION BEACH, NJ 07735-3147
(732) 770-8596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPRS-50275
NJ
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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