Individual
VANETTA LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 OLD KINGS HWY, BELLMAWR, NJ 08031-2909
(929) 392-5984
Mailing address
25 OLD KINGS HWY, BELLMAWR, NJ 08031-2909
(929) 392-5984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
10/02/2021
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