Individual
KANDICE TOPAZ ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
205 ROBIN RD, SUITE 118, PARAMUS, NJ 07652-1449
(201) 225-1511
(201) 225-9731
Mailing address
3 MURYLU DR, JERSEY CITY, NJ 07305-3904
(201) 938-2778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00231600
NJ
Other
Enumeration date
03/24/2011
Last updated
06/15/2012
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