Lisseth C Torre
Massage Therapist in Union, NJ. Individual provider (NPI-1).
NPI number1609480896
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1609480896
- Entity type
- Individual (NPI-1)
- Name
- Lisseth C Torre
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 18kt00494200 | NJ | Yes |
Practice location
1833 Manor Dr Apt AUnion, NJ 07083-4659
Phone 908-472-4582
Mailing address
1833 Manor Dr Apt AUnion, NJ 07083-4659
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