Individual
BARBARA NICLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 KEMAH MECCA LAKE RD, NEWTON, NJ 07860-6612
(073) 048-0733
Mailing address
78 KEMAH MECCA LAKE RD, NEWTON, NJ 07860-6612
(073) 048-0733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00264500
NJ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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