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Individual

MICHELLE RENAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
291 WALL ST, SUITE 2 A, KINGSTON, NY 12401-3849
(845) 331-5759
Mailing address
291 WALL ST, SUITE 2 A, KINGSTON, NY 12401-3849
(845) 331-5759

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27017092
NY

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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