NPI 1770309718

Yokasta Herasme

Practitioner Driver Newark, NJ

Practice location

Address: 465 Lake St, Newark, NJ 07104-1331
Phone: (917) 334-3867

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence R60017907952821 (NJ)

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Registry record

NPI: 1770309718
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2024
Record last updated: 25 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.