Individual
KIM MAI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CROSS RD, CORTLANDT MANOR, NY 10567-6140
(914) 843-5624
Mailing address
PO BOX 108, PEEKSKILL, NY 10566-0108
(914) 843-5624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026417
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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