Individual
LORENA G CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
610 WASHINGTON BLVD, JERSEY CITY, NJ 07310-1400
(212) 227-3233
Mailing address
610 WASHINGTON BLVD, JERSEY CITY, NJ 07310-1400
(212) 227-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01377300
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT01377300
MASSAGE THERAPY
NJ
Enumeration date
10/09/2020
Last updated
10/09/2020
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