Individual
NUTTAYA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 GREENWICH AVE, 2ND FLOOR, GREENWICH, CT 06830
(682) 628-9514
Mailing address
79 PLEASANT RIDGE RD, POUGHQUAG, NY 12570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9577
CT
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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