Individual
THANNY WENDY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 LENOX AVE APT 203, EAST ORANGE, NJ 07018-3191
(862) 308-4873
Mailing address
50 LENOX AVE APT 203, EAST ORANGE, NJ 07018-3191
(862) 308-4873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00304300
NJ
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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