Individual
EDENS HENRISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
871 S 11TH ST, NEWARK, NJ 07108-1303
(862) 418-7350
Mailing address
871 S 11TH ST, NEWARK, NJ 07108-1303
(862) 418-7350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
01541100
NJ
Other
Enumeration date
05/15/2025
Last updated
05/16/2025
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