Individual
MISS STACEY LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 STAFFORD PARK BLVD, MANAHAWKIN, NJ 08050-2734
(609) 978-4923
(609) 978-5854
Mailing address
209 STAFFORD PARK BLVD, MANAHAWKIN, NJ 08050-2734
(609) 978-4923
(609) 978-5854
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW01664800
NJ
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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