Individual
TYNYETTA T STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SUNSET RD, MILLVILLE, NJ 08332-6021
(856) 206-6886
Mailing address
102 SUNSET RD, MILLVILLE, NJ 08332-6021
(856) 206-6886
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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