Individual
TYVONNA MARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
688 MAPLE AVE, ELIZABETH, NJ 07202-2624
(551) 404-0819
Mailing address
688 MAPLE AVE, ELIZABETH, NJ 07202-2624
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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