Individual
MS. JACQUELINE DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500A LAKE ST STE A, RAMSEY, NJ 07446-1356
(201) 253-0345
Mailing address
34 SPLIT ROCK RD, MAHWAH, NJ 07430-1015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00090600
NJ
Other
Enumeration date
10/22/2011
Last updated
12/15/2020
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