Individual
MRS. NANCY SARMIENTO KOUFLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 TAINTER ST, PEAPACK, NJ 07977-5034
(908) 304-8794
Mailing address
PO BOX 26, PEAPACK, NJ 07977-0026
(908) 304-8794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00671600
NJ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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