Individual
TANEICE CHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
457 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052
(973) 731-7778
Mailing address
457 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052
(973) 731-7778
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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