Individual
MIOSOTY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
340 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2711
(201) 651-9100
Mailing address
488 MARTENSE AVE, TEANECK, NJ 07666-2505
(201) 274-3688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00584900
NJ
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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