Individual
ELIENE ALVES SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 WESTMINSTER AVE, ELIZABETH, NJ 07208-2202
(908) 558-9500
Mailing address
85 INDEPENDENCE DR, ROSELLE, NJ 07203-2408
(908) 209-3565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01191300
NJ
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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