Individual
SHAVONNE N STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 SULPHUR SPRINGS ROAD, IRVING, NY 14081
(716) 480-9932
Mailing address
PO BOX 140, IRVING, NY 14081-0140
(716) 480-9932
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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