Individual
MISS QIAOLING LISA KUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102-10 62ND RD, FOREST HILLS, NY 11375
(917) 379-7532
Mailing address
102-10 62ND RD, FOREST HILLS, NY 11375
(917) 379-7532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225700000X
Massage Therapist
Primary
022530
NY
Other
Enumeration date
02/20/2010
Last updated
08/16/2012
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