Individual
MR. JOSE RAUL ORELLANA PLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2461 E 28TH ST, BROOKLYN, NY 11235-1909
(347) 987-6841
Mailing address
2461 E 28TH ST, BROOKLYN, NY 11235-1909
(347) 987-6841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032179
NY
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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