Search › New Jersey › 163WI0500X
Mia King
NPI 1689448839 · on the registry since 2023 · sole proprietor
Practice
- Address
- 222 Elleen Ter Apt 11c
Hackensack, NJ 07601 - Phone
- (551) 301-5033
Registry record
- Primary taxonomy
- 163WI0500X
163WI0500X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-08
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