Individual
NELLY BABLUMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1040 CREEK LOCKS RD, ROSENDALE, NY 12472-9750
(858) 349-2611
Mailing address
1040 CREEK LOCKS RD, ROSENDALE, NY 12472-9750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028376
NY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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