Individual
MRS. DANIELLE ELIZABETH DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19 N COUNTY LINE RD., SUITE 10, JACKSON, NJ 08527-2548
(732) 581-9415
Mailing address
19 NORTH COUNTY LINE RD., SUITE 10, JACKSON, NJ 08527-2548
(732) 581-9415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00086200
NJ
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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