Individual
DOMINIQUE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 STATE RT 23 STE 12, KINNELON, NJ 07405-1643
(973) 838-4444
Mailing address
234 W DEWEY AVE, WHARTON, NJ 07885-1656
(734) 717-8089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03537300
NJ
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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