Individual
MRS. JACQUELINE MARIE SANTULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
181 BLACKBERRY RD, LIVERPOOL, NY 13090-3000
(315) 575-3173
Mailing address
183 NORTHRIDGE DR, CENTRAL SQUARE, NY 13036-2628
(315) 575-3173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018339
NY
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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