Search › New Jersey › 101YM0800X
Tynisha Clarke
NPI 1174088629 · on the registry since 2019 · sole proprietor
Practice
- Address
- 149 10th Ave
Manchester, NJ 08759 - Phone
- (732) 575-6770
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey