Individual
FELICIA MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1255 PENNSYLVANIA AVE APT 20A, BROOKLYN, NY 11239-1104
(347) 840-0856
Mailing address
1255 PENNSYLVANIA AVE APT 20A, BROOKLYN, NY 11239-1104
(347) 840-0856
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027960
NY
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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