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Individual

DAVID CARDENAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
66 ROMAINE AVE APT 12, JERSEY CITY, NJ 07306-5320
(646) 266-3067
Mailing address
66 ROMAINE AVE APT 12, JERSEY CITY, NJ 07306-5320
(646) 266-3067

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01153200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18KT01153200
MASSAGE THERAPIST
NJ
Enumeration date
01/19/2021
Last updated
01/19/2021
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