Individual
AGNES MICHELLE KITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
553 WALKER AVE, EWING, NJ 08628-2833
(609) 233-0310
Mailing address
553 WALKER AVE, EWING, NJ 08628-2833
(609) 233-0310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00768600
NJ
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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