Individual
MS. DOLLY DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
525 W 42ND ST, NEW YORK, NY 10036-6205
(212) 473-3689
Mailing address
25 MORGAN ST, BERGENFIELD, NJ 07621-3514
(646) 229-6620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031283-02
NY
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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