NPI | 1568114270 |
---|---|
Other Name | TAMIEKA BUGAM |
Entity Type | Organization |
Authorized Contact | TAMIEKA BUGAM CEO/Provider 732-307-9644 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2022-01-24 |
Last Update Date | 2024-04-03 |