Individual
LAIREN BALDEVARONA MOHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3616 BROADWAY FL 2, LONG ISLAND CITY, NY 11106-1046
(631) 871-7938
Mailing address
3170 35TH ST APT 6, LONG ISLAND CITY, NY 11106-1552
(347) 605-6457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031773
NY
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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