Individual
JENNIFER LYNN BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 ROUTE 38, LUMBERTON, NJ 08048-2257
(609) 702-5888
(609) 702-0015
Mailing address
363 KRESSON RD, CHERRY HILL, NJ 08034-3354
(609) 702-5888
(609) 702-0015
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD3745
NJ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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