Search › New Jersey › 164W00000X
Myrna Datilus
NPI 1598458184 · on the registry since 2023
Practice
- Address
- 11-15 Clinton St Apt 6g
Newark, NJ 07102 - Phone
- (908) 358-8322
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-30
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