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Individual

JACQUELINE A. DALEY-ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
111 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 330-9817
Mailing address
429 CEDAR ST, UNIONDALE, NY 11553-2119

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016724-01
NY

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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