Maxine Souvenir, LMT
NPI #1790401966 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1790401966
- Entity Type
- Individual
- Name
- Maxine Souvenir, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Oct 18, 2022
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 100 UNION ST APT 518
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07202-2171
- Phone
- (347) 422-4370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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