Organization
HANNAH'S MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE RHODAS MMT (OWNER)
(609) 241-8624
Entity
Organization
Contact information
Practice address
185 S NEW YORK RD, STORE 'B', GALLOWAY, NJ 08205-9647
(609) 241-8624
(609) 241-8624
Mailing address
185 S NEW YORK RD, STORE 'B', GALLOWAY, NJ 08205-9647
(609) 241-8624
(609) 241-8624
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
18KT00139900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00139900
NJ STATE LICENSE
NJ
Enumeration date
03/18/2015
Last updated
03/18/2015
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