Individual
MS. LORISHA LEVETTE RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 CHURCH ST STE 200, WHITE PLAINS, NY 10601-1518
(845) 513-6805
Mailing address
22 E 130TH ST APT 1A, NEW YORK, NY 10037-3745
(914) 843-3545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027316-01
NY
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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