Individual
JAIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8 ARBOR FIELD WAY, LAKE GROVE, NY 11755-1835
(347) 675-7324
Mailing address
8 ARBOR FIELD WAY, LAKE GROVE, NY 11755-1835
(347) 675-7324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030648-1
NY
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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