Individual
ALEXANDRA FLETE FREDERIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
179 S HARRISON ST, EAST ORANGE, NJ 07018-1510
(908) 967-1499
Mailing address
29 LOOKER ST, HILLSIDE, NJ 07205-2818
(908) 967-1499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01518900
NJ
Other
Enumeration date
01/25/2025
Last updated
02/11/2025
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