Individual
TRIESSA DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, LMT
Contact information
Practice address
101 LAWN ST, PARK RIDGE, NJ 07656-1119
(201) 421-8781
Mailing address
101 LAWN ST, PARK RIDGE, NJ 07656-1119
(201) 421-8781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00602800
NJ
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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