Individual
TECOYA MCKELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 DEMOTT AVE, CLIFTON, NJ 07011-2710
(973) 246-9757
Mailing address
27 DEMOTT AVE, CLIFTON, NJ 07011-2710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270390
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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