Organization
A GOOD LIFE MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE DELEONARDO LMT (OWNER)
(862) 262-1060
Entity
Organization
Contact information
Practice address
142 ROUTE 23 STE D, POMPTON PLAINS, NJ 07444-2000
(201) 673-2295
Mailing address
142 ROUTE 23 STE D, POMPTON PLAINS, NJ 07444-2000
(201) 673-2295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT0087100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821487919
NPI
NJ
Enumeration date
10/07/2014
Last updated
12/08/2021
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