Individual
STEPHANIE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/CMMP
Contact information
Practice address
15 AMBOY AVE, METUCHEN, NJ 08840-2518
(732) 548-2001
Mailing address
PO BOX 135, AVENEL, NJ 07001-0135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00462000
NJ
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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