Individual
LACRETIA RENEE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,LMT
Contact information
Practice address
520 STOKES RD STE C2, MEDFORD, NJ 08055-2904
(640) 600-4185
Mailing address
520 STOKES RD STE C2, MEDFORD, NJ 08055-2904
(640) 600-4185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01441600
NJ
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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