Organization
JUBILEE VACATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOSHUAI XAIO LMT (VICE PRESIDENT)
(929) 264-0269
Entity
Organization
Contact information
Practice address
373 ROUTE 111 STE 10, SMITHTOWN, NY 11787-4759
(631) 406-6067
Mailing address
373 ROUTE 111 STE 10, SMITHTOWN, NY 11787-4759
(631) 406-6067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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