Individual
JOSE LUIS GRILLO ZAPATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 ROCKWOOD PLACE, ENGLEWOOD, NJ 07631
(201) 431-5066
Mailing address
25 ROCKWOOD PL STE 110, ENGLEWOOD, NJ 07631-4959
(201) 431-5066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01174200
NJ
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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