Individual
JENNIFER MOURGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2283 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1819
(716) 773-2222
Mailing address
2283 GRAND ISLAND BLVD, GRAND ISLAND, NY 14072-1819
(716) 773-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009111-1
NY
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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