Individual
CLAUDIA MARIELLA FARFAN MEDINA DE SANGAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7431 3RD AVE, NORTH BERGEN, NJ 07047-4813
(201) 699-3281
Mailing address
7431 3RD AVE, NORTH BERGEN, NJ 07047-4813
(201) 699-3281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00626000
NJ
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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