Individual
MS. JOANNE DURAN
Active
Individual
MS. JOANNE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC,LMT,LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
263687-1
NY
171100000X
Acupuncturist
Primary
006635-01
NY
172M00000X
Mechanotherapist
023381-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521
—
NY
Enumeration date
10/26/2016
Last updated
06/05/2023
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