Individual
HOLLY RAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Mailing address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00295900
NJ
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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