Individual
MISS JOAN MICHELE MAULELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE
Contact information
Practice address
5 FAIRLAWN DR STE 300, WASHINGTONVILLE, NY 10992-1290
(917) 573-8382
Mailing address
5 FAIRLAWN DR STE 300, WASHINGTONVILLE, NY 10992-1290
(917) 573-8382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007688
NY
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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