Individual
MRS. PEGGY REGINA VILCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
227 SOUTH AVE W, WESTFIELD, NJ 07090-1486
(908) 370-5235
Mailing address
175 E PROSPECT AVE, WOODBRIDGE, NJ 07095-3503
(908) 370-5235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00729700
NJ
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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