Individual
GRACE M OLYFVELDT BYNOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 VALLEY ST STE 1, SOUTH ORANGE, NJ 07079-2809
(973) 280-1922
Mailing address
15 VALLEY ST STE 1, SOUTH ORANGE, NJ 07079-2809
(973) 280-1922
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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