Individual
MS. MIREYA ELIZABETH ARREVILLAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 US HIGHWAY 22, SUITE 6B, GREEN BROOK, NJ 08812-1756
(732) 752-6606
(732) 752-6643
Mailing address
326 US HIGHWAY 22, SUITE 6B, GREEN BROOK, NJ 08812-1756
(732) 752-6606
(732) 752-6643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00407800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00407800
NJ BOARD OF MASSAGE AND BODYWORK THERAPY
NJ
Enumeration date
11/23/2015
Last updated
11/23/2015
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