Individual
GINA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 10TH ST, APT 1, NORTH BERGEN, NJ 07047-1805
(551) 697-7031
Mailing address
1307 10TH ST, APT 1, NORTH BERGEN, NJ 07047-1805
(551) 697-7031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00531200
NJ
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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