Individual
STEPHANIE CIMMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
94 COLONA ST, WYCKOFF, NJ 07481-2723
(201) 638-1349
Mailing address
94 COLONA ST, WYCKOFF, NJ 07481-2723
(201) 638-1349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00978000
NJ
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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