Individual
CARMEN LUISA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
2322 E 18TH ST, BROOKLYN, NY 11229-4417
(585) 746-7677
Mailing address
22 E 17TH ST, SUITE 511, NEW YORK, NY 10003-1901
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25005059
NY
225700000X
Massage Therapist
018323
NY
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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