Individual
MS. MYRCA AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
91 AMES ST APT C297, DORCHESTER CENTER, MA 02124-3051
(617) 412-9601
Mailing address
91 AMES ST APT C297, DORCHESTER CENTER, MA 02124-3051
(617) 412-9601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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