Individual
MR. GEORGE SANDOUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCBTMB, MMP
Contact information
Practice address
47 BRANDON AVE., LIVINGSTON, NJ 07039
(646) 853-2853
Mailing address
47 BRANDON AVE, LIVINGSTON, NJ 07039-1301
(646) 853-2853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00405400
NJ
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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