Individual
MS. ARIANA MARIE BLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
821 CLIFF ST, ITHACA, NY 14850-2097
(607) 351-2277
Mailing address
821 CLIFF ST, ITHACA, NY 14850-2097
(607) 351-2277
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014490
NY
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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