Individual
SHERRALYN LONGYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1830 SHERBURNE RD, WALWORTH, NY 14568-9610
(315) 986-8104
Mailing address
1830 SHERBURNE RD, WALWORTH, NY 14568-9610
(315) 986-8104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010733
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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