Individual
MR. DANIEL BLANCO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
48 ELM ST, WEST ORANGE, NJ 07052-5910
(646) 784-1084
Mailing address
48 ELM ST, WEST ORANGE, NJ 07052-5910
(646) 784-1084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01338700
NJ
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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