MICHELLE ITIDIARE

WEST ORANGE, NJ
NPI1194180349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NJ  26NJ00625200)
Enumeration Date2015-12-15
Last Update Date2016-11-30
Business Address
MICHELLE ITIDIARE
347 MOUNT PLEASANT AVE SUITE 103
WEST ORANGE, NJ 07052-2744
Phone number: 908-420-1361
Mailing Address
MICHELLE ITIDIARE
347 MOUNT PLEASANT AVE SUITE 103
WEST ORANGE, NJ 07052-2744
Phone number:
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