Individual
JESSICA HARIWIJAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CARBON PL APT 422, JERSEY CITY, NJ 07305-5325
(484) 456-9103
Mailing address
15 CARBON PL APT 422, JERSEY CITY, NJ 07305-5325
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
18068
PA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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