Individual
TONYA EVETTE REVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 782-0005
Mailing address
305 PICKWICK DR, WILLIAMSTOWN, NJ 08094-1989
(609) 481-1988
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR24248900
NJ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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