Individual
SIMBARASHE S MUDIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
615 W 165TH ST, APT 1B, NEW YORK, NY 10032
(913) 582-2581
Mailing address
1041 SANDY HILL TRL, CAMDEN, DE 19934-4229
(914) 582-2581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025395
NY
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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