Individual
KENAZIA AMBER WHYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MT
Contact information
Practice address
4 GIFFORD PL, IRVINGTON, NJ 07111-1609
(347) 785-6566
Mailing address
4 GIFFORD PL, IRVINGTON, NJ 07111-1609
(347) 785-6566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01411600
NJ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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