Individual
CRYSTAL LYNN SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7311 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4014
(201) 210-9080
Mailing address
7311 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4014
(201) 210-9080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
03/26/2014
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