Individual
MINAM SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 HUDSON TER STE 204, ENGLEWOOD CLIFFS, NJ 07632-2917
(201) 926-3894
Mailing address
464 HUDSON TER STE 204, ENGLEWOOD CLIFFS, NJ 07632-2917
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00485200
NJ
225700000X
Massage Therapist
32WA06967200
NJ
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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