MEDICARE: MRS. JESMERLYN SANCHEZ DE RAMIREZ MASSAGES THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	18KT00583900	NJ

General Provider Information

NPI Number	:	1447915673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESMERLYN SANCHEZ DE RAMIREZ MASSAGES THERAPIST

Provider Business Mailing Address
First Line	:	218 KIPP AVE APT K
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1933
Country	:	US
Telephone Number	:	201-779-7842
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 KIPP AVE APT K
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1933
Country	:	US
Telephone Number	:	201-779-7842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	11/02/2021

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