Organization
SAMARRA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN SAMARRA LMT (OWNER)
(585) 278-8402
Entity
Organization
Contact information
Practice address
1344 UNIVERSITY AVE, ROCHESTER, NY 14607-1656
(585) 278-8402
Mailing address
1815 ROCHESTER ST, LIMA, NY 14485-9501
(585) 278-8402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025579
NY
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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