Individual
MAKI WATABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 MANNER AVE, GARFIELD, NJ 07026-1418
(973) 772-0099
Mailing address
850 MAIN ST APT 2F, HACKENSACK, NJ 07601-4946
(201) 870-9368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00059100
NJ
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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