Individual
JEANETTE CARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 JERSEY AVE, MAYWOOD, NJ 07607-2029
(201) 951-2089
Mailing address
661 JERSEY AVENUE, MAYWOOD, NJ 07607
(201) 951-2089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00104600
NJ
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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