Individual
TYLESHAY JUANISE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 GROVE ST APT 2, IRVINGTON, NJ 07111-5588
(551) 214-9290
Mailing address
445 GROVE ST APT 2, IRVINGTON, NJ 07111-5588
(661) 214-9290
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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