Individual
ANA C VELAZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11-19 RIVER RD, FAIR LAWN, NJ 07410-1463
(201) 402-7848
Mailing address
11-19 RIVER RD, FAIR LAWN, NJ 07410-1463
(862) 703-8673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KB00096700
NJ
225700000X
Massage Therapist
18KT00228300
NJ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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