Individual
KRISTA DICECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2373 HIGHWAY 36, ATLANTIC HIGHLANDS, NJ 07716-2560
(732) 872-6595
Mailing address
2373 HIGHWAY 36, ATLANTIC HIGHLANDS, NJ 07716-2560
(732) 872-6595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00769100
NJ
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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