Individual
LESLIE A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25 MOHAWK AVE, SCOTIA, NY 12302-2565
(518) 526-3583
Mailing address
25 MOHAWK AVE, SCOTIA, NY 12302-2565
(518) 526-3583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028136
STATE LICENSE NUMBER
NY
Enumeration date
09/18/2018
Last updated
09/18/2018
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