VALLLERY SUPPLICE

NEWARK, NJ
NPI1730735473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-16
Last Update Date2019-08-16
Business Address
Mr. VALLLERY SUPPLICE
218 SHERMAN AVE
NEWARK, NJ 07114-1650
Phone number: 770-940-7390
Mailing Address
Mr. VALLLERY SUPPLICE
218 SHERMAN AVE
NEWARK, NJ 07114-1650
Phone number: 770-940-7390