SearchNew Jersey225700000X

Kesjana Divjaka, LMT, CDT, MLD-C

NPI 1578277935 · on the registry since 2023 · sole proprietor

Practice

Address
269 Us Highway 46 Ste 128
Little Ferry, NJ 07643
Phone
(551) 352-8695

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-11

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