Individual
RAYMOND CHARLES MILLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, SUITE29, MONTCLAIR, NJ 07043-1343
(973) 655-0002
Mailing address
598 VALLEY RD, APT3, MONTCLAIR, NJ 07043-1843
(973) 699-7573
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00658300
NJ
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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