Individual
MS. MARILYN VIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13513 HAWTREE ST, OZONE PARK, NY 11417-2827
(718) 637-7807
Mailing address
13513 HAWTREE ST, OZONE PARK, NY 11417-2827
(718) 637-7807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025180
NY
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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