Individual
MIRLANDE JEAN LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
124 E 40TH ST RM 1001, NEW YORK, NY 10016-1765
(917) 817-7212
Mailing address
241 W 62ND ST APT 6D, NEW YORK, NY 10023-7308
(917) 817-7212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27-024922
NY
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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