Individual
TAMEKA S VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
836 HILLSIDE RD, RAHWAY, NJ 07065-1813
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00792500
NJ
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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