Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MAIN ST FL 1, BUFFALO, NY 14202-1924
(716) 830-3124
Mailing address
1112 FERRY AVE APT 1, NIAGARA FALLS, NY 14301-1822
(716) 830-3124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029821
NY
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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