Individual
ANNETTA LYNNAE CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
224 FAIR ST, KINGSTON, NY 12401-4561
(845) 443-1280
Mailing address
112 RAYNA ST, HURLEY, NY 12443-5222
(845) 443-1280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
018655-01
NY
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
09/09/2024
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