Individual
ANGELA JESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1201 COLVIN BLVD STE 5, BUFFALO, NY 14223-1936
(716) 218-0676
Mailing address
1201 COLVIN BLVD STE 5, BUFFALO, NY 14223-1936
(716) 218-0675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030467-1
NY
Other
Enumeration date
05/17/2018
Last updated
01/06/2026
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