Individual
RONISHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 FARMERS BLVD, SAINT ALBANS, NY 11412-4012
(917) 463-6969
Mailing address
11804 FARMERS BLVD, SAINT ALBANS, NY 11412-4012
(917) 463-6969
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0028357
NY
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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