Individual
KIMBERLY ANN BOVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4269 SAINT FRANCIS DR, HAMBURG, NY 14075-1724
(716) 627-3668
Mailing address
80 SUNSET BLVD, ANGOLA, NY 14006-1037
(716) 359-5252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030405
NY
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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