Individual
TRISTEN MARIE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
45 SPRING ST, WAVERLY, NY 14892-1246
(607) 331-0586
Mailing address
45 SPRING ST, WAVERLY, NY 14892-1246
(607) 331-0586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27020568
NY
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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