Individual
NICOLLETTE MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC. MT
Contact information
Practice address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
(732) 374-9864
Mailing address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
(732) 374-9864
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00150400
NJ
225700000X
Massage Therapist
18KT01214600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT01214600
LICENSED
NJ
01
—
25MZ00150400
LICENSED
NJ
Enumeration date
01/07/2021
Last updated
01/07/2021
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