Individual
CAROL HOXIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2649 JAMES ST STE 106, SYRACUSE, NY 13206-2801
(315) 412-6630
Mailing address
2649 JAMES ST STE 106, SYRACUSE, NY 13206-2801
(315) 412-6630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024623
NY
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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