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Individual

BEAUTY FREEMANTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 MAIN ST OFC 501C, NEW YORK, NY 10044
(646) 238-9629
(212) 214-0544
Mailing address
501 MAIN ST OFC 501C, NEW YORK, NY 10044-0190
(646) 238-9629
(212) 214-0544

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005785
NY

Other

Enumeration date
06/23/2016
Last updated
06/04/2018
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