Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 38MC00595600 | NJ |
Y | 111NN1001X | Nutrition | 38MC00595600 | NJ |
N | 111NP0017X | Pediatric Chiropractor | 38MC00595600 | NJ |
N | 111NR0400X | Rehabilitation Chiropractor | 38MC00595600 | NJ |
N | 111NS0005X | Chiropractic Sports Physician | 38MC00595600 | NJ |
N | 111NX0100X | Occupational Health | 38MC00595600 | NJ |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00595600 | NJ |
NPI | 1639254105 |
---|---|
Provider Name | Dr. Desiree Curley |
First Address | Freehold, NJ 07728-1753 |
Second Address | Freehold, NJ 07728-1753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 23/07/2015 |