Individual
MISS JANINE DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
90 HAMBURG ST, EAST AURORA, NY 14052-2140
(716) 655-2533
Mailing address
90 HAMBURG ST, EAST AURORA, NY 14052-2140
(716) 655-2533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030089
NY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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