Individual
QUEENASIA SIMONE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2861 EXTERIOR ST, APT 5F, BRONX, NY 10463-7140
(646) 598-7227
Mailing address
2861 EXTERIOR ST APT 5F, BRONX, NY 10463-7140
(646) 598-7227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033155
NY
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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