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Search › New Jersey › 104100000X

Sevil Modeste

NPI 1780209171 · on the registry since 2020 · sole proprietor

Practice

Address
2040 Millburn Ave Ste 102
Maplewood, NJ 07040
Phone
(732) 762-2406
Organisation at this address
Seat At The Soul Llc
Shantise Michelle Llc
Advanced Pain Care Llc
King Dave Home Care Llc
Optimum Health Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey