Individual
STEPHANIE JACQUELINE RADICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1961 WEHRLE DR, SUITE 7, WILLIAMSVILLE, NY 14221-8460
(716) 626-4466
Mailing address
4591 SOUTHWESTERN BLVD, APT C4, HAMBURG, NY 14075-1946
(716) 698-7284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 026896
NY
Other
Enumeration date
04/10/2013
Last updated
06/15/2015
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