Individual
MRS. JACQUELINE ANN GREMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1386 ROUTE 25A, EAST SETAUKET, NY 11733-2842
(631) 751-2374
Mailing address
15 FORREST AVE, MEDFORD, NY 11763-2608
(631) 766-1177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024043
NY
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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