Individual
MS. SANDRA LAVERNA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE MASSAGE THER
Contact information
Practice address
846 ROUTE 82, ELIZAVILLE, NY 12523
(518) 821-6704
Mailing address
846 ROUTE 82, ELIZAVILLE, NY 12523
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
015538
NY
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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