Individual
EDNA VIVIANA ECHEVERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
297 KINDERKAMACK RD STE 206, ORADELL, NJ 07649-1535
(201) 613-3863
Mailing address
19 COOLIDGE PL, HAWTHORNE, NJ 07506-2601
(201) 613-3863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00716700
NJ
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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