Individual
RENEE RANSDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 CLIFTON AVE, NEWARK, NJ 07104-3102
(862) 944-5416
Mailing address
716 CLIFTON AVE, NEWARK, NJ 07104-3102
(862) 944-5416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00607000
NJ
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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