Individual
TAIWO DAMILOLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
338 S 19TH ST APT 2, NEWARK, NJ 07103-1361
(973) 342-5074
Mailing address
338 S 19TH ST APT 2, NEWARK, NJ 07103-1361
(973) 342-5074
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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