Individual
MRS. JODI NICOLE WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5000 EXPRESSWAY DRIVE S., HOLBROOK, NY 11741
(631) 335-9796
Mailing address
5000 EXPRESSWAY DRIVE S., HOLBROOK, NY 11741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
017011
NY
Other
Enumeration date
10/14/2021
Last updated
10/15/2021
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