Individual
FANNY DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 HILLIARD AVE APT 3, EDGEWATER, NJ 07020-1200
(201) 270-8141
Mailing address
26 HILLIARD AVE APT 3, EDGEWATER, NJ 07020-1200
(201) 270-8141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00143500
NJ
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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