Individual
ATHENA DEE LAGACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4837 LEWISTON RD, NIAGARA FALLS, NY 14305-1183
(716) 313-9602
Mailing address
4837 LEWISTON RD, NIAGARA FALLS, NY 14305-1183
(716) 313-9602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032140
NY
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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