Individual
RENEE GAMBINO-BONJOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
17 GLEN POND DR, RED HOOK, NY 12571-1840
(845) 876-7222
Mailing address
17 GLEN POND DR, RED HOOK, NY 12571-1840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010261
NY
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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