Individual
MRS. TAMIKA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
561 S PARK AVE, BUFFALO, NY 14204-2627
(716) 465-9703
Mailing address
561 S PARK AVE, BUFFALO, NY 14204-2627
(716) 465-9703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032121
NY
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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