Individual
AKWASIBA R RAFAELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MIDLAND AVE APT 3N, BRONXVILLE, NY 10708-6335
(917) 602-6554
Mailing address
1111 MIDLAND AVE APT 3N, BRONXVILLE, NY 10708-6335
(917) 602-6554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032896
NY
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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