Latoya L Chisolm
NPI #1427821461 in Wayne, New Jersey
Provider Information
- NPI Number
- 1427821461
- Entity Type
- Individual
- Name
- Latoya L Chisolm
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 1, 2023
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 155 WILLOWBROOK BLVD STE 110
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-7033
- Phone
- (347) 850-3666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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