Individual
RAQUEL L LODESTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
952 SOUTHERN BLVD STE 202, BRONX, NY 10459-3434
(347) 734-2444
Mailing address
1050 HOE AVE APT 3C, BRONX, NY 10459-6203
(347) 734-2444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023188
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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