SearchNew Jersey224Z00000X

Stacey Bryham

NPI 1396433405 · on the registry since 2023 · sole proprietor

Practice

Address
7490 Walnut Ave
Pennsauken, NJ 08109
Phone
(856) 839-1447

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey