Individual
SANDRA DEZENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 RIEDER RD, EDISON, NJ 08817-2805
(848) 210-3946
Mailing address
40 RIEDER RD, EDISON, NJ 08817-2805
(848) 210-3946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00433700
NV
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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