Provider Demographics
NPI:1528896248
Name:AFANADOR, ARIANA (LMT)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:AFANADOR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N LADOW AVE APT 19F
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-1435
Mailing Address - Country:US
Mailing Address - Phone:856-212-9332
Mailing Address - Fax:
Practice Address - Street 1:26 N LADOW AVE APT 19F
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-1435
Practice Address - Country:US
Practice Address - Phone:856-212-9332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01506900225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist