| Ms Jacqueline De Vries, LMT | |
|
500a Lake St Ste A, Ramsey, NJ 07446-1356 | |
| (201) 253-0345 | |
| Not Available |
| Full Name | Ms Jacqueline De Vries |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 500a Lake St Ste A, Ramsey, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780960765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 18KT00090600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline De Vries, LMT 34 Split Rock Rd, Mahwah, NJ 07430-1015 Ph: () - | Ms Jacqueline De Vries, LMT 500a Lake St Ste A, Ramsey, NJ 07446-1356 Ph: (201) 253-0345 |
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