Individual
SAMANTHA KELLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3053 KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
(201) 839-5380
Mailing address
67 KENNEDY BLVD APT 2, BAYONNE, NJ 07002-5235
(201) 898-1268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00534500
NJ
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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