Individual
KRISTIA ELIZABETH TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1000 SANGER AVE STE 205, OCEANPORT, NJ 07757-1241
(732) 996-3659
Mailing address
1000 SANGER AVE STE 205, OCEANPORT, NJ 07757-1241
(732) 996-3659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00142300
NJ
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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