Individual
ELLA SHAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
420 12TH STREET, BROOKLYN, NY 11215-1121
(917) 991-6692
Mailing address
420 12TH ST, BROOKLYN, NY 11215-5158
(917) 991-6692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007345-1
NY
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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