Latasha Simmons, LMT | |
106 N Munn Ave Apt 3, Newark, NJ 07106-1360 | |
(704) 210-4275 | |
Not Available |
Full Name | Latasha Simmons |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 106 N Munn Ave Apt 3, Newark, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811504855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18KT01251200 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Latasha Simmons, LMT 106 N Munn Ave Apt 3, Newark, NJ 07106-1360 Ph: (704) 210-4275 | Latasha Simmons, LMT 106 N Munn Ave Apt 3, Newark, NJ 07106-1360 Ph: (704) 210-4275 |
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