Individual provider · NPI-1
Alraheem Humphrey
Emergency Medical Technician, Basic · East Orange, NJ
NPI number1134544893
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1134544893
- Entity type
- Individual (NPI-1)
- Name
- Alraheem Humphrey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2014
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | – | NJ | Yes |
Practice location
75 Prospect St Apt 10dEast Orange, NJ 07017-2321
Phone 973-820-6385
Mailing address
75 Prospect St Apt 10dEast Orange, NJ 07017-2321
Phone 973-820-6385
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