Provider Demographics
NPI:1447751649
Name:DUNLAP-ENNIS, LEAH (REIKI PRACTIONER)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DUNLAP-ENNIS
Suffix:
Gender:F
Credentials:REIKI PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BROOKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3100
Mailing Address - Country:US
Mailing Address - Phone:201-541-8600
Mailing Address - Fax:
Practice Address - Street 1:63B 8TH ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5056
Practice Address - Country:US
Practice Address - Phone:201-962-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist