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Maxine Souvenir, LMT
Massage Therapist in Elizabeth, New Jersey
NPI 1790401966

Maxine Souvenir is a Massage Therapist based in Elizabeth, NJ. Maxine Souvenir practices in Elizabeth, NJ and has the professional credentials of LMT. The NPI Number for Maxine Souvenir is 1790401966 and holds a License No. 18KT01438900 (New Jersey).

The current practice location address for Maxine Souvenir is 100 Union St Apt 518, Elizabeth, NJ and can be reached out via phone at 347-422-4370.

Location: 100 Union St Apt 518, Elizabeth, NJ, 07202-2171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790401966
Provider Name
Maxine Souvenir
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
100 Union St Apt 518, Elizabeth, NJ, 07202-2171
Phone Number
347-422-4370
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Union St Apt 518
City
Elizabeth
State
New Jersey
Zip
07202-2171
Phone Number
347-422-4370
Fax Number
person
Provider Business Mailing Address Details
Address
100 Union St Apt 518
City
Elizabeth
State
New Jersey
Zip
07202-2171
Phone Number
347-422-4370
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18KT01438900 (New Jersey)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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