Individual
MRS. JULISA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SCHOONERS SQ, FREEHOLD, NJ 07728-3753
(984) 240-7728
Mailing address
35 SCHOONERS SQ, FREEHOLD, NJ 07728-3753
(984) 240-7728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01172700
NJ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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