Individual
STACY WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 MONTCLAIR AVE, NEPTUNE, NJ 07753-2528
(732) 361-6500
Mailing address
8 MONTCLAIR AVE, NEPTUNE, NJ 07753-2528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00016900
NJ
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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