Individual
JACQUELINE GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
205 ROBIN RD, PARAMUS, NJ 07652-1449
(201) 225-1511
Mailing address
99 KNAPP AVE, CLIFTON, NJ 07011-1334
(201) 679-8611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00831300
NJ
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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