Individual
ADRIENNE CHRISTINA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
93 E 233RD ST APT 3R, BRONX, NY 10470-2226
(914) 458-2725
Mailing address
93 E 233RD ST APT 3R, BRONX, NY 10470-2226
(914) 458-2725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030753-01
NY
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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