Individual
ELSIE PATRICIA CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 POLK ST APT 3, WEST NEW YORK, NJ 07093-1628
(201) 328-2540
Mailing address
6302 POLK ST APT 3, WEST NEW YORK, NJ 07093-1628
(201) 328-2540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01251600
NJ
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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