Individual
DELLSHONE TYRECE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 W RAILROAD AVE STE 168, TENAFLY, NJ 07670-1735
(862) 668-0981
Mailing address
24 W RAILROAD AVE STE 168, TENAFLY, NJ 07670-1735
(862) 668-0981
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
M16221608308882
NJ
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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