Individual
MS. ELAINA JEAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4 VERNON XING, GLENWOOD, NJ 07418-2106
(973) 764-0010
Mailing address
119 DREW RD, SUSSEX, NJ 07461-4520
(973) 876-9451
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00532300
NJ
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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