Individual
MR. ELIEZER WILLIE VIERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
363 CENTRE ST, NUTLEY, NJ 07110-4706
(551) 697-2433
Mailing address
345 MANOR CT, LYNDHURST, NJ 07071-1007
(551) 697-2433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00882300
NJ
Other
Enumeration date
08/04/2015
Last updated
12/17/2015
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