Individual
ROQUE VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2352 LINWOOD AVE APT 4D, FORT LEE, NJ 07024-3827
(973) 288-5649
Mailing address
2352 LINWOOD AVE APT 4D, FORT LEE, NJ 07024-3827
(973) 288-5649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01187700
NJ
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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