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Individual

LISA MARIE MARIACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4269 SAINT FRANCIS DR, HAMBURG, NY 14075-1724
(716) 627-3668
Mailing address
34 QUEENS DR, WEST SENECA, NY 14224-3227
(716) 544-4436

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
225700000X
Massage Therapist
Primary
016714
NY

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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