Individual
VERONICA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
572 57TH ST APT 21, WEST NEW YORK, NJ 07093-1262
(551) 404-1445
Mailing address
572 57TH ST APT 21, WEST NEW YORK, NJ 07093-1262
(551) 404-1445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01049500
NJ
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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