Individual
KITIMA LEGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 MAIN ST, METUCHEN, NJ 08840-2459
(732) 305-0898
Mailing address
1110 FOREST HAVEN BLVD, EDISON, NJ 08817-6323
(908) 590-0197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01339800
NJ
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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