Individual
WENDELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11134 FARMERS BLVD STE 10, SAINT ALBANS, NY 11412-2328
(347) 463-1236
Mailing address
11134 FARMERS BLVD STE 10, SAINT ALBANS, NY 11412-2328
(347) 463-1236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027949-1
NY
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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