Individual
NANCY DORILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
386 BROADWAY APT 5, PASSAIC, NJ 07055-2029
(862) 200-6868
Mailing address
386 BROADWAY APT 5, PASSAIC, NJ 07055-2029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01456100
NJ
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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