Individual
CARMELA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2504 44TH ST APT 2, LONG ISLAND CITY, NY 11103-2037
(347) 485-6367
Mailing address
2504 44TH ST APT 2, LONG ISLAND CITY, NY 11103-2037
(347) 485-6367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032104
NY
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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