Individual provider · NPI-1

Osariemen Helen Agho

Community Health Worker · Newark, NJ

NPI number1063234128
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1063234128
Entity type
Individual (NPI-1)
Name
Osariemen Helen Agho
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2024
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

701 S 19th St
Newark, NJ 07103-1033

Phone 646-577-7116

Mailing address

701 S 19th St
Newark, NJ 07103-1033

Phone 646-577-7116

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