Individual
KRISTYN STOLZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
275 GROVE ST, JERSEY CITY, NJ 07302-3601
(503) 960-1376
Mailing address
PO BOX 1882, NEW YORK, NY 10101-1882
(503) 960-1376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13156
OR
Other
Enumeration date
06/23/2011
Last updated
12/08/2012
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