Individual
MRS. TIFFANY M BAZEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCBTMB, RN, BSN
Contact information
Practice address
10 SUNSET LN, SUCCASUNNA, NJ 07876-2011
(973) 610-1733
Mailing address
10 SUNSET LN, SUCCASUNNA, NJ 07876-2011
(973) 610-1733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00384800
NJ
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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