Individual
MS. LAURA A STAMBOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 PUBLIC SQ, WATERTOWN, NY 13601-2626
(315) 520-4593
Mailing address
17869 COUNTY ROUTE 59, DEXTER, NY 13634-2031
(315) 520-4593
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028244
NY
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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