Individual
INESSA VAGODNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
425 CENTRE ST, NEWTON, MA 02458-2063
(617) 244-1990
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6906
MA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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