Individual
MS. LAKISHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
326 US HIGHWAY 22, SUITE 6B, GREEN BROOK, NJ 08812-1756
(732) 752-6606
Mailing address
326 US HIGHWAY 22, SUITE 6B, GREEN BROOK, NJ 08812-1756
(732) 752-6606
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00596600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00596600
NEW JERSEY BOARD OF MASSAGE AND BODYWORK THERAPY
NJ
Enumeration date
04/30/2014
Last updated
04/30/2014
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