Individual
MISS LAURINE RACINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2793
(716) 298-0368
Mailing address
10158 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304
(716) 298-0368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028537
LICENSE NUMBER
NY
Enumeration date
02/25/2015
Last updated
02/25/2015
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