Individual
WILLIAM STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 OCEAN AVE APT 23H, ASBURY PARK, NJ 07712-5628
(732) 284-9990
Mailing address
1701 OCEAN AVE APT 23H, ASBURY PARK, NJ 07712-5628
(732) 284-9990
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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