Individual
MRS. BRENDA LEE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
372 ELLEN DR, CHEEKTOWAGA, NY 14225-1323
(716) 462-0053
Mailing address
372 ELLEN DR, CHEEKTOWAGA, NY 14225-1323
(716) 462-0053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
02535-1
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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