Individual
MRS. SANDRA LEE STEWART-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
25 LESHIN LN, HIGHTSTOWN, NJ 08520-4001
(609) 443-7738
Mailing address
849 CENTRE ST, TRENTON, NJ 08611-3543
(609) 394-8836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00035000
NJ
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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