Shunethy Russell, | |
72 Old New Brunswick Rd, 2, Piscataway, NJ 08854-3885 | |
(908) 868-7380 | |
Not Available |
Full Name | Shunethy Russell |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 72 Old New Brunswick Rd, Piscataway, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255741740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18KT00447100 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shunethy Russell, 72 Old New Brunswick Rd, Apt 2, Piscataway, NJ 08854 Ph: (908) 868-7380 | Shunethy Russell, 72 Old New Brunswick Rd, 2, Piscataway, NJ 08854-3885 Ph: (908) 868-7380 |
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