Individual
CAMERON RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
16027 121ST AVE, JAMAICA, NY 11434-2408
(718) 249-6100
(888) 205-2971
Mailing address
11064 QUEENS BLVD, #505, FOREST HILLS, NY 11375-6347
(718) 249-6100
(888) 205-2971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-023147
NY
Other
Enumeration date
09/25/2009
Last updated
09/30/2009
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