Individual
JESSICA DINGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
219 LAUREL RD, EAST NORTHPORT, NY 11731-1443
(631) 578-0427
Mailing address
12 DARRELL ST, EAST NORTHPORT, NY 11731-5514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-019230
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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