Individual
JANICE K. WAEGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4327 SWEDEN WALKER RD, BROCKPORT, NY 14420-2715
(585) 331-7617
Mailing address
4327 SWEDEN WALKER RD, BROCKPORT, NY 14420-2715
(585) 331-7617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020254
NY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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