SearchNew Jersey261QD1600X

Ileola Allen-Jamison

NPI 1457107906 · on the registry since 2024 · sole proprietor

Practice

Address
109-119 Broad St #308
Newark, NJ 07104
Phone
(973) 841-3961

Registry record

Primary taxonomy
261QD1600X
261QD1600X
Also registered as
126800000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-08

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