Individual
MR. JUAN DAVID VERA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
3555 73RD ST, JACKSON HEIGHTS, NY 11372-4152
(347) 303-3794
Mailing address
3555 73RD ST, JACKSON HEIGHTS, NY 11372-4152
(347) 303-3794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028568
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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