Individual
SEAN SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 ROUTE 22, SUITE 102, BRANCHBURG, NJ 08876-3476
(908) 252-0242
Mailing address
3322 ROUTE 22, SUITE 102, BRANCHBURG, NJ 08876-3476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR16310700
NJ
225700000X
Massage Therapist
18KT00409300
NJ
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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