Individual
JORDAN VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
148 ELMWOOD AVE, BUFFALO, NY 14201-1450
(716) 292-5812
Mailing address
1072 E LOVEJOY ST, BUFFALO, NY 14206-1125
(716) 292-5812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033254-01
NY
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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