Individual
THIACE AYESHA MARIE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MILLHOLLAND DR W, FISHKILL, NY 12524-1523
(917) 557-4842
Mailing address
23 MILLHOLLAND DR W, FISHKILL, NY 12524-1523
(917) 557-4842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024407
NY
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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