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Individual

ZHIYUAN LOUIS DU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3803 BELL BLVD, BAYSIDE, NY 11361-2058
(718) 279-3689
Mailing address
8040 258TH ST, GLEN OAKS, NY 11004-1234
(646) 421-4161

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022129
NY

Other

Enumeration date
03/08/2021
Last updated
03/08/2021
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