Individual
MONIQUE ZODDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 MAIN ST STE 104, PORT JEFFERSON, NY 11777-2262
(631) 704-4865
Mailing address
903 MAIN ST STE 104, PORT JEFFERSON, NY 11777-2262
(631) 704-4865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
031564
NY
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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