Individual
DIESHA DOROTHY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 BROADWAY APT 111, NEWARK, NJ 07104-4316
(973) 900-4910
(973) 497-2708
Mailing address
810 BROADWAY APT 111, NEWARK, NJ 07104-4316
(973) 900-4910
(973) 497-2708
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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