Individual
ANTONIO VALLADARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
209 TAAFFE PL APT 4R, BROOKLYN, NY 11205-4383
(917) 202-9838
Mailing address
209 TAAFFE PL APT 4R, BROOKLYN, NY 11205-4383
(917) 202-9838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009583
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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