Individual
MS. BARBARA JO FONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
609 CANTON ST, OGDENSBURG, NY 13669-3811
(315) 393-1018
Mailing address
PO BOX 701, OGDENSBURG, NY 13669-0701
(315) 713-4170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019099
NY
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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