Individual
LUCAS DIAS DA SILVA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
936 EDPAS RD, NEW BRUNSWICK, NJ 08901-3817
(732) 609-0096
Mailing address
936 EDPAS RD, NEW BRUNSWICK, NJ 08901-3817
(732) 609-0096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00630300
NJ
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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