Organization
MASSAGE SUPREME THERAPEUTIC AND WELLNESS SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEGILADE JOBIODENEYE (OWNER)
(973) 444-0040
Entity
Organization
Contact information
Practice address
2168 MILLBURN AVE, SUITE 205, MAPLEWOOD, NJ 07040-2640
(973) 444-0040
(973) 843-7129
Mailing address
183A COURT ST, NEWARK, NJ 07103-3824
(973) 444-0040
(973) 843-7129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00182400
NJ
Other
Enumeration date
04/13/2016
Last updated
04/14/2016
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