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Individual

MELANIE SHAREN DE DIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1033 CLIFTON AVE STE 114, CLIFTON, NJ 07013-3517
(973) 370-9378
Mailing address
121 BURLINGTON AVE, PATERSON, NJ 07502-1801
(973) 572-5455

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TA09137100
NJ
225700000X
Massage Therapist
Primary
18KT01416500
NJ

Other

Enumeration date
02/16/2022
Last updated
04/23/2025
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