Roque Valderrama, | |
2352 Linwood Ave Apt 4d, Fort Lee, NJ 07024-3827 | |
(973) 288-5649 | |
Not Available |
Full Name | Roque Valderrama |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2352 Linwood Ave Apt 4d, Fort Lee, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275204455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18KT01187700 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Roque Valderrama, 2352 Linwood Ave Apt 4d, Fort Lee, NJ 07024-3827 Ph: (973) 288-5649 | Roque Valderrama, 2352 Linwood Ave Apt 4d, Fort Lee, NJ 07024-3827 Ph: (973) 288-5649 |
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