KATRINA JALIAH THELISME

MAPLEWOOD, NJ
NPI1467281436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ15230700)
Enumeration Date2024-07-29
Last Update Date2025-03-04
Business Address
KATRINA JALIAH THELISME
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040-3725
Phone number: 973-843-7149
Mailing Address
KATRINA JALIAH THELISME
2130 MILLBURN AVE STE C7
MAPLEWOOD, NJ 07040-3747
Phone number: 908-884-8419