Individual
DYLAN JAMES CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CPT, CES
Contact information
Practice address
214 PARK AVE, MANALAPAN, NJ 07726-8372
(848) 459-3342
Mailing address
229 LONG BRANCH AVE, LONG BRANCH, NJ 07740-7564
(848) 459-3342
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01235700
NJ
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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