Individual
IVETTE CANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 PARKVIEW AVE, BRONX, NY 10461-5221
(347) 623-4599
Mailing address
4637 BURNSIDE DR, TOBYHANNA, PA 18466-3042
(347) 623-4599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023606
NY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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