Individual
NYKEISHA FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
97 SUMMER AVE APT 3, NEWARK, NJ 07104-3693
(973) 259-8992
Mailing address
97 SUMMER AVE APT 3, NEWARK, NJ 07104-3693
(973) 259-8992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01378500
NJ
Other
Enumeration date
12/01/2022
Last updated
12/03/2022
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