Individual
MRS. HOSTRAYAH FAUSTINA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13510 TERRACE CREEK DR APT 202, LOUISVILLE, KY 40245-5842
(267) 370-1758
Mailing address
13510 TERRACE CREEK DR APT 202, LOUISVILLE, KY 40245-5842
(267) 370-1758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
274914
KY
Other
Enumeration date
01/13/2023
Last updated
09/15/2023
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