Individual
METAJEAN MYERSCOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
208 N WEST BLVD FL 2, NEWFIELD, NJ 08344-9556
(856) 212-3199
Mailing address
PO BOX 771, NEWFIELD, NJ 08344-0771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01114400
NJ
225700000X
Massage Therapist
MA87716
FL
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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