CORINE IWUALA

WEST ORANGE, NJ
NPI1063168847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ01276000)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
CORINE IWUALA
97 MAYFAIR DR
WEST ORANGE, NJ 07052-2210
Phone number: 973-866-5350
Mailing Address
CORINE IWUALA
97 MAYFAIR DR
WEST ORANGE, NJ 07052-2210
Phone number: