Individual
LEILAH M TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
514 BOONTON AVE, BOONTON, NJ 07005-1510
(973) 985-2799
Mailing address
514 BOONTON AVE, BOONTON, NJ 07005-1510
(973) 985-2799
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00046100
NJ
Other
Enumeration date
04/19/2013
Last updated
04/11/2016
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