Individual
DANTE JOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 BERGENLINE AVE STE 1, WEST NEW YORK, NJ 07093-5595
(201) 854-9989
(201) 854-6615
Mailing address
5300 BERGENLINE AVE STE 1, WEST NEW YORK, NJ 07093-5595
(201) 854-9989
(201) 854-6615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00182200
NJ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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