Individual
SHAMARA COKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12022 171ST ST, JAMAICA, NY 11434-2604
(917) 416-6981
Mailing address
12022 171ST ST, JAMAICA, NY 11434-2604
(917) 416-6981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032813
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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