Individual
LESLIE J MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 BROWNING LN BLDG C-LL7, CHERRY HILL, NJ 08003-3195
(856) 477-3890
Mailing address
102 BROWNING LN BLDG C-LL7, CHERRY HILL, NJ 08003-3195
(856) 477-3890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01244600
NJ
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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