Individual
JESSICA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(646) 806-7643
(631) 274-9500
Mailing address
144 DANA AVE, MASTIC, NY 11950-2511
(646) 806-7643
(631) 274-9500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031094-1
NY
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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