Individual
MS. JACQUELINE ANN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
175 WOLF HILL RD, MELVILLE, NY 11747-1340
(631) 681-0016
(631) 754-7407
Mailing address
175 WOLF HILL RD, MELVILLE, NY 11747-1340
(631) 681-0016
(631) 754-7407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020598-1
NY
Other
Enumeration date
11/12/2008
Last updated
05/02/2017
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