Individual
CELENA DEGLOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LMT CD CLC CCCE
Contact information
Practice address
405 5TH AVE FL 2, BROOKLYN, NY 11215-3315
(347) 699-8751
Mailing address
405 5TH AVE FL 2, BROOKLYN, NY 11215-3315
(347) 699-8751
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
172M00000X
Mechanotherapist
Primary
021538
NY
174N00000X
Lactation Consultant (Non-RN)
43673
NY
225700000X
Massage Therapist
021538-01
NY
374J00000X
Doula
—
—
Other
Enumeration date
09/29/2010
Last updated
03/04/2021
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