Individual
MATHEUS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 US HIGHWAY 46 STE 203, CLIFTON, NJ 07013-2450
(973) 954-5113
Mailing address
170 WILSON AVE, NEWARK, NJ 07105-6581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01478800
NJ
Other
Enumeration date
09/28/2024
Last updated
10/03/2024
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