Individual
JOSEFA AGUASVIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RRUCS
Contact information
Practice address
510 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1636
(201) 941-2106
Mailing address
510 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1636
(201) 941-2106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
NJ
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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