Individual
ANGELA MARIE WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
165 POLK ST, WATERTOWN, NY 13601-2763
(315) 782-4920
Mailing address
3602 TOWNLINE RD, LORRAINE, NY 13659-3203
(315) 877-8223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019510-1
NY
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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