Organization
MASSAGEBYWEN PLLC
Active
Other names
Massagebywen pllc
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL OLIVER DAVIS (CEO)
(347) 463-1236
Entity
Organization
Contact information
Practice address
24028 MEMPHIS AVE, ROSEDALE, NY 11422-2017
(347) 463-1236
Mailing address
24028 MEMPHIS AVE, ROSEDALE, NY 11422-2017
(347) 463-1236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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