Organization
11:11 WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZARIAH Z YEMMA SR. (PRESIDENT)
(315) 372-6291
Entity
Organization
Contact information
Practice address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 475-9164
Mailing address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 372-6291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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