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Individual

JOHANNA GUERRERO-DEJESUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1726 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1512
(631) 600-7878
Mailing address
531 HIGBIE LN, WEST ISLIP, NY 11795-1609
(631) 568-1210

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028463
NY

Other

Enumeration date
12/01/2022
Last updated
12/01/2022
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