Individual
ANDRIA MICHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 N MAIN ST, NORTH SYRACUSE, NY 13212-1669
(315) 937-5954
Mailing address
112 SUBURBAN PARK DR APT 1, MANLIUS, NY 13104-1956
(315) 720-3456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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